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General NPI Number Information
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NPI Number | 1265358949
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Entity Type | Organization
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Legal Business Name | CEDAR AND SAGE PSYCHIATRY LLC
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 1 BLUE HILL PLZ STE 1509-24
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City | PEARL RIVER
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State | NY
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Zip | 10965-3104
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Country | US
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Telephone | 908-632-8889
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BLUE HILL PLZ STE 1509-24
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City | PEARL RIVER
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State | NY
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Zip | 10965-3104
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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 | PMHNP/ OWNER
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Name | ELIZABETH BENNETT-GARGUILO
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Credential | PMHNP, FNP
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Telephone | 908-803-0361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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