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General NPI Number Information
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NPI Number | 1235539834
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Entity Type | Organization
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Legal Business Name | ANXIETY AND DEPRESSION MEDICAL OF SCARSDALE, PLLC
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Dates
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Enumeration Date | 09/02/2014
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Last Update Date | 09/02/2014
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Provider Practice Location Address
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Address Line | 455 CENTRAL PARK AVE STE 311
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City | SCARSDALE
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State | NY
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Zip | 10583-1034
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Country | US
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Telephone | 914-574-5390
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Fax |
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Provider Business Mailing Address
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Address Line | 455 CENTRAL PARK AVE STE 311
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City | SCARSDALE
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State | NY
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Zip | 10583-1034
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | FAIQ HAMEEDI
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Credential |
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Telephone | 914-574-5390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 178922
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License Number State | NY
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