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NPI 1477210284

NPI 1477210284 : NINA YTHIER LCSW PC : MOUNT VERNON, NY

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General NPI Number Information
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    NPI Number           |    1477210284
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    Entity Type          |    Organization 
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    Legal Business Name  |    NINA YTHIER LCSW PC 
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Dates
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    Enumeration Date     |    11/29/2021
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    Last Update Date     |    11/29/2021
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Provider Practice Location Address
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    Address Line         |    118 N 9TH AVE APT 2 
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    City                 |    MOUNT VERNON
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    State                |    NY
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    Zip                  |    10550-1290
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    Country              |    US
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    Telephone            |    914-426-7789
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    118 N 9TH AVE APT 2 
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    City                 |    MOUNT VERNON
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    State                |    NY
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    Zip                  |    10550-1290
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LMSW
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    Name                 |     NINA  YTHIER 
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    Credential           |    
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    Telephone            |    914-426-7789
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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       |    
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    License Number State |    
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