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General NPI Number Information
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NPI Number | 1508611997
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Entity Type | Organization
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Legal Business Name | SACCO PSYCHOLOGY PC
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Dates
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Enumeration Date | 04/19/2024
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Last Update Date | 04/19/2024
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Provider Practice Location Address
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Address Line | 26 COURT STREET SUITE 501
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City | BROOKLYN
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State | NY
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Zip | 11242-1105
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Country | US
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Telephone | 212-362-9888
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Fax |
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Provider Business Mailing Address
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Address Line | 26 COURT STREET SUITE 501
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City | BROOKLYN
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State | NY
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Zip | 11242-1105
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Country | US
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Telephone | 212-362-9888
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIE SACCO
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Credential | PHD
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Telephone | 646-522-0273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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