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General NPI Number Information
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NPI Number | 1336094002
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Entity Type | Organization
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Legal Business Name | PLEASANT STREET NP IN PSYCHIATRY AND ADULT HEALTH PLLC
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 3501 30TH AVE STE 201
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City | ASTORIA
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State | NY
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Zip | 11103-4662
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Country | US
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Telephone | 917-983-7390
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Fax | 917-983-7393
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Provider Business Mailing Address
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Address Line | 3501 30TH AVE STE 201
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City | ASTORIA
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State | NY
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Zip | 11103-4662
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Country | US
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Telephone | 917-983-7390
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Fax | 917-983-7393
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH HOLT
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Credential | NP
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Telephone | 917-983-7390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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