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General NPI Number Information
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NPI Number | 1376835819
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Entity Type | Organization
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Legal Business Name | NYCHHC
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Dates
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Enumeration Date | 05/03/2011
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Last Update Date | 05/03/2011
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Provider Practice Location Address
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Address Line | 1901 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10029-7404
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Country | US
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Telephone | 212-423-7109
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Fax | 212-423-7024
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Provider Business Mailing Address
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Address Line | 1901 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10029-7404
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Country | US
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Telephone | 212-423-7109
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Fax | 212-423-7024
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. MERYL WEINBERG
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Credential | RN
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Telephone | 212-423-6262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 075938
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License Number State | NY
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