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General NPI Number Information
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NPI Number | 1356000475
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Entity Type | Organization
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Legal Business Name | HAITIAN AMERICAN FAMILY OF LONG ISLAND
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Dates
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Enumeration Date | 12/16/2021
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Last Update Date | 12/16/2021
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Provider Practice Location Address
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Address Line | 294 W MERRICK RD STE 7
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City | FREEPORT
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State | NY
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Zip | 11520-3357
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Country | US
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Telephone | 516-628-9405
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Fax |
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Provider Business Mailing Address
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Address Line | 294 W MERRICK RD STE 7
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City | FREEPORT
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State | NY
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Zip | 11520-3357
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Country | US
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Telephone | 516-628-9405
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MARYSE LAMERCIE EMMANUEL-GARCY
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Credential | LMSW
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Telephone | 151-652-4672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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