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General NPI Number Information
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NPI Number | 1376005751
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Entity Type | Organization
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Legal Business Name | NYC PSYCHOLOGY PC
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Dates
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Enumeration Date | 04/03/2019
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 200 WEST 57TH ST., STE 1008
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City | NEW YORK
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State | NY
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Zip | 10019
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Country | US
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Telephone | 646-837-5557
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Fax | 646-837-5495
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Provider Business Mailing Address
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Address Line | 37 SHEPARD STREET
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City | BRIGHTON
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State | MA
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Zip | 02135
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Country | US
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Telephone | 617-910-7790
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Fax | 646-837-5495
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Authorized Official
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Title or Position | FOUND AND DIRECTOR
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Name | DAVID H. ROSMARIN
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Credential |
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Telephone | 617-910-7790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 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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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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