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NPI 1336009729

NPI 1336009729 : ELIZABETH MCADAM MA, LCAT : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1336009729
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    Entity Type          |    Individual 
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    Provider Name        |    ELIZABETH MCADAM MA, LCAT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/17/2025
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    Last Update Date     |    11/17/2025
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Provider Practice Location Address
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    Address Line         |    630 FORT WASHINGTON AVE APT 1J 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10040-3948
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    Country              |    US
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    Telephone            |    347-470-8862
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    91 PAYSON AVE APT 2B 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10034-2744
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    Country              |    US
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    Telephone            |    347-470-8862
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101200000X
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    Taxonomy Name        |    Drama Therapist
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    License Number       |    002223
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    License Number State |    NY
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