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General NPI Number Information
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NPI Number | 1417983305
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Entity Type | Individual
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Provider Name | MARY TRAMONTIN PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | NY FORENSIC, 26 COURT STREET - SUITE 912
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City | BROOKLYN
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State | NY
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Zip | 11242
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Country | US
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Telephone | 718-237-2127
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Fax |
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Provider Business Mailing Address
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Address Line | 350 ALBANY ST
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City | NEW YORK
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State | NY
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Zip | 10280-1415
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Country | US
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Telephone | 917-992-3652
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 012145
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License Number State | NY
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