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General NPI Number Information
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NPI Number | 1366978322
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Entity Type | Organization
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Legal Business Name | ASSOCIATED THERAPISTS OF ROCKLAND
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 09/18/2019
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Provider Practice Location Address
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Address Line | 33 PARK AVE
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City | AIRMONT
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State | NY
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Zip | 10952-4505
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Country | US
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Telephone | 845-425-9614
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Fax | 845-425-9614
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Provider Business Mailing Address
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Address Line | 33 PARK AVE
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City | AIRMONT
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State | NY
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Zip | 10952-4505
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Country | US
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Telephone | 845-425-9614
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Fax | 845-425-9614
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Authorized Official
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Title or Position | OWNER
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Name | LESLIE LASKIN
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Credential | LCSW
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Telephone | 845-425-9614
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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 | R078432
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License Number State | NY
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