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General NPI Number Information
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NPI Number | 1568882199
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC UNIT
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 04/22/2014
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Provider Practice Location Address
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Address Line | 500 W 157TH ST APT 3E NY,NY
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City | NEW YORK
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State | NY
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Zip | 10032-7679
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Country | US
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Telephone | 516-655-3187
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Fax |
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Provider Business Mailing Address
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Address Line | 500 W 157TH ST APT 3E
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City | NEW YORK
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State | NY
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Zip | 10032-7679
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Country | US
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Telephone | 516-655-3187
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Fax |
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Authorized Official
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Title or Position | RN
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Name | MAJORIE GERLIN
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Credential |
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Telephone | 516-655-3187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 677362-1
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License Number State | NY
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