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General NPI Number Information
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NPI Number | 1568511731
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Entity Type | Individual
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Provider Name | FELISA CHRUSCICKI DRAYER LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 07/24/2018
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Provider Practice Location Address
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Address Line | 275 DOVER GRN
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City | STATEN ISLAND
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State | NY
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Zip | 10312
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Country | US
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Telephone | 718-317-7823
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Fax | 718-983-0348
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Provider Business Mailing Address
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Address Line | 275 DOVER GRN
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City | STATEN ISLAND
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State | NY
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Zip | 10312-1713
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Country | US
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Telephone | 718-317-7823
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Fax | 718-983-0348
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 072275-1
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License Number State | NY
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