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General NPI Number Information
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NPI Number | 1366809998
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Entity Type | Organization
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Legal Business Name | THE INSTITUTE FOR FAMILY HEALTH
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Dates
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Enumeration Date | 01/27/2016
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 65 FORDING PLACE RD
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City | LAKE KATRINE
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State | NY
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Zip | 12449-5221
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Country | US
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Telephone | 845-943-3642
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Fax | 845-382-6069
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Provider Business Mailing Address
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Address Line | 279 MAIN ST SUITE 101
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City | NEW PALTZ
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State | NY
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Zip | 12561-1623
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Country | US
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Telephone | 845-255-3766
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Fax | 845-255-3753
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | ERIC GAYLE
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Credential | MD
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Telephone | 212-633-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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