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General NPI Number Information
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NPI Number | 1497121271
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Entity Type | Organization
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Legal Business Name | NUNZIO SIGNORELLA, LLC
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Dates
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Enumeration Date | 08/17/2015
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Last Update Date | 08/17/2015
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Provider Practice Location Address
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Address Line | 80 E. 11TH STREET 610
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City | NEW YORK
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State | NY
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Zip | 10003-6819
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Country | US
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Telephone | 347-675-9873
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Fax | 646-707-0109
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Provider Business Mailing Address
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Address Line | 159 MADISON AVE, 3I
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City | NEW YORK
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State | NY
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Zip | 10016-5434
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Country | US
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Telephone | 347-675-9873
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Fax | 646-707-0109
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Authorized Official
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Title or Position | PRINCIPAL
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Name | MR. NUNZIO SIGNORELLA
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Credential | LCSW
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Telephone | 347-675-9873
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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 |
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | NY
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