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General NPI Number Information
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NPI Number | 1245923366
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Entity Type | Organization
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Legal Business Name | LOOKING GLASS PSYCHOLOGY, P.C.
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Dates
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Enumeration Date | 06/02/2023
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Last Update Date | 06/02/2023
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Provider Practice Location Address
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Address Line | 100 PARK AVE FL 16
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City | NEW YORK
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State | NY
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Zip | 10017-5538
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Country | US
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Telephone | 646-546-3178
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Fax |
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Provider Business Mailing Address
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Address Line | 3172 43RD ST
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City | ASTORIA
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State | NY
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Zip | 11103-2702
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Country | US
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Telephone | 646-546-3178
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Fax |
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Authorized Official
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Title or Position | OWNER, LICENSED PSYCHOLOGIST
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Name | DR. SYLVIA GINDY
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Credential |
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Telephone | 646-546-3178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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