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General NPI Number Information
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NPI Number | 1558577338
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Entity Type | Individual
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Provider Name | ANDREW MONTEVERDE ELMORE PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 401 E 80TH ST SUITE 28G
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City | NEW YORK
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State | NY
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Zip | 10021-0655
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Country | US
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Telephone | 212-535-5813
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Fax | 212-535-5813
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Provider Business Mailing Address
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Address Line | 401 E 80TH ST SUITE 28G
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City | NEW YORK
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State | NY
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Zip | 10021-0655
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Country | US
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Telephone | 212-535-5813
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Fax | 212-535-5813
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 06598
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 06598
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 05698
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number | 06598
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License Number State | NY
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