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General NPI Number Information
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NPI Number | 1306599709
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Entity Type | Organization
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Legal Business Name | ESSENTIA PSICOLOGICA PSYCHOLOGY SERVICES, P.C.
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 400 W END AVE APT 1H
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City | NEW YORK
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State | NY
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Zip | 10024-5751
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Country | US
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Telephone | 212-362-0092
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Fax | 347-803-1820
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Provider Business Mailing Address
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Address Line | 134 PALMER AVE
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-1616
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Country | US
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Telephone | 917-885-0170
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Fax | 347-803-1820
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Authorized Official
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Title or Position | FOUNDER AND OWNER
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Name | DR. MASSIMO BALESTRI
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Credential | PHD
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Telephone | 212-362-0092
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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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