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General NPI Number Information
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NPI Number | 1487459756
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Entity Type | Organization
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Legal Business Name | NEW YORK STATE OFFICE OF MENTAL HEALTH
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 163 W 125TH ST FL 11
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City | NEW YORK
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State | NY
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Zip | 10027-4436
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Country | US
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Telephone | 212-369-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 44 HOLLAND AVE
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City | ALBANY
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State | NY
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Zip | 12208-3411
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Country | US
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Telephone | 518-473-3598
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Fax | 518-473-5167
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Authorized Official
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Title or Position | DIRECTOR FINANCE
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Name | SHWETA GUPTA
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Credential |
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Telephone | 518-473-3598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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