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General NPI Number Information
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NPI Number | 1417443565
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Entity Type | Organization
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Legal Business Name | CHAYE GEWIRTZMAN LCSW PLLC
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Dates
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Enumeration Date | 07/02/2018
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Last Update Date | 07/02/2018
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Provider Practice Location Address
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Address Line | 12 UNDERWOOD RD
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City | MONSEY
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State | NY
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Zip | 10952-1816
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Country | US
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Telephone | 845-548-0864
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Fax |
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Provider Business Mailing Address
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Address Line | 12 UNDERWOOD RD
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City | MONSEY
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State | NY
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Zip | 10952-1816
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Country | US
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Telephone | 845-548-0864
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Fax |
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Authorized Official
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Title or Position | LCSW/OWNER
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Name | CHAYE GEWIRTZMAN
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Credential |
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Telephone | 845-548-0864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 083665-1
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License Number State | NY
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