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NPI 1558141390

NPI 1558141390 : ELEANOR PICKERING PMHNP : BRONX, NY

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General NPI Number Information
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    NPI Number           |    1558141390
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    Entity Type          |    Individual 
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    Provider Name        |    ELEANOR PICKERING PMHNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/29/2023
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    Last Update Date     |    11/11/2025
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Provider Practice Location Address
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    Address Line         |    1002 WESTCHESTER AVE 
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    City                 |    BRONX
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    State                |    NY
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    Zip                  |    10459-3309
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    Country              |    US
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    Telephone            |    718-320-4466
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    44 W 28TH ST FL 5 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10001-4212
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    Country              |    US
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    Telephone            |    212-545-2409
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    Fax                  |    212-463-8411
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    407531
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    License Number State |    NY
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