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General NPI Number Information
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NPI Number | 1497925630
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Entity Type | Organization
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Legal Business Name | YOUNG ADULT INSTITUTE, INC.
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 09/10/2008
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Provider Practice Location Address
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Address Line | 320 W 13TH ST
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City | NEW YORK
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State | NY
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Zip | 10014-1287
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Country | US
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Telephone | 212-645-1616
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Fax |
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Provider Business Mailing Address
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Address Line | 460 W 34TH ST FL 11
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City | NEW YORK
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State | NY
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Zip | 10001-2382
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Country | US
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Telephone | 212-273-6100
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Fax | 212-273-6406
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Authorized Official
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Title or Position | DIRECTOR ACCTS RECEIVABLE
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Name | MR. ROBERT PITTI
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Credential |
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Telephone | 212-273-6625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number | 6113305
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License Number State | NY
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