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General NPI Number Information
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NPI Number | 1568701019
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Entity Type | Individual
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Provider Name | GISELLE MELENDEZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/04/2013
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 2265 3RD AVE
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City | NEW YORK
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State | NY
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Zip | 10035-2231
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Country | US
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Telephone | 212-289-6650
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Fax |
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Provider Business Mailing Address
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Address Line | 223 WALL ST # 1013
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City | HUNTINGTON
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State | NY
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Zip | 11743-2060
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Country | US
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Telephone | 516-693-2389
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 090315
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 141397918
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 098888
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License Number State | NY
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