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NPI 1508104142

NPI 1508104142 : VIJAYETA SINH PHD : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1508104142
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    Entity Type          |    Individual 
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    Provider Name        |    VIJAYETA SINH PHD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/16/2013
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    Last Update Date     |    03/17/2018
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Provider Practice Location Address
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    Address Line         |    19 W 34TH STREET PENTHOUSE SUITE
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10001
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    Country              |    US
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    Telephone            |    212-652-2216
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    Fax                  |    212-652-2216
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Provider Business Mailing Address
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    Address Line         |    603 W 115TH ST STE 170 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10025-7722
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    Country              |    US
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    Telephone            |    212-652-2216
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    019952
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    License Number State |    NY
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