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General NPI Number Information
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NPI Number | 1477823268
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Entity Type | Organization
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Legal Business Name | INES M MERCEDES-ALCANTARA L.C.S.W
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Dates
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Enumeration Date | 01/10/2012
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Last Update Date | 01/10/2012
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Provider Practice Location Address
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Address Line | 2360 AMSTERDAM AVE SUITE # M-2
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City | NEW YORK
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State | NY
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Zip | 10033-7362
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Country | US
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Telephone | 646-678-5222
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Fax | 646-678-5119
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Provider Business Mailing Address
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Address Line | 2360 AMSTERDAM AVE SUITE M-2
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City | NEW YORK
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State | NY
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Zip | 10033-7362
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Country | US
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Telephone | 646-678-5222
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Fax | 646-678-5119
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DOLORES C ESTEVEZ
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Credential |
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Telephone | 917-294-4725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | RO54425-1
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License Number State | NY
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