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NPI 1447840590

NPI 1447840590 : MARIA PATUHAS : BRONX, NY

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General NPI Number Information
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    NPI Number           |    1447840590
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    Entity Type          |    Individual 
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    Provider Name        |    MARIA PATUHAS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/22/2021
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    Last Update Date     |    12/23/2025
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Provider Practice Location Address
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    Address Line         |    1775 GRAND CONCOURSE 
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    City                 |    BRONX
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    State                |    NY
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    Zip                  |    10453-8202
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    Country              |    US
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    Telephone            |    212-560-6700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3045 GODWIN TER APT 1B 
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    City                 |    BRONX
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    State                |    NY
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    Zip                  |    10463-5341
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    Country              |    US
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    Telephone            |    917-783-2944
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    115803
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    101759
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    License Number State |    NY
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