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General NPI Number Information
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NPI Number | 1215911946
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Entity Type | Organization
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Legal Business Name | NEW YORK GRACIE SQUARE HOSPITAL INC
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 420 E 76TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-3104
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Country | US
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Telephone | 212-434-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 420 E 76TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-3396
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Country | US
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Telephone | 212-434-5532
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Fax | 212-434-5479
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | TIMOTHY PATRICK MCGARVEY
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Credential |
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Telephone | 212-434-5314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | A713070
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License Number State | NY
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