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General NPI Number Information
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NPI Number | 1376849273
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Entity Type | Organization
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Legal Business Name | ST. YVES MEDICAL AND BEHAVIORAL HEALTH SERVICES PLLC
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Dates
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Enumeration Date | 02/10/2011
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Last Update Date | 02/10/2011
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Provider Practice Location Address
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Address Line | 481 MAIN ST STE 301
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-6360
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Country | US
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Telephone | 914-235-4771
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Fax | 914-235-4774
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Provider Business Mailing Address
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Address Line | 481 MAIN ST STE 301
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-6360
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Country | US
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Telephone | 914-235-4771
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Fax | 914-235-4774
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Authorized Official
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Title or Position | PRESIDENT.
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Name | MR. HEROLD ABELLARD
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Credential | M.D.
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Telephone | 914-235-4771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 228745
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License Number State | NY
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