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General NPI Number Information
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NPI Number | 1578137121
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Entity Type | Organization
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Legal Business Name | HORIZON PSYCHOLOGY OF NY, PLLC
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Dates
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Enumeration Date | 05/18/2021
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 1000 MAIN ST STE G
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City | PORT JEFFERSON
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State | NY
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Zip | 11777-2250
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Country | US
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Telephone | 631-209-7917
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 MAIN ST STE G
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City | PORT JEFFERSON
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State | NY
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Zip | 11777-2250
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Country | US
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Telephone | 631-209-7917
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. JENNIFER E DONNELLY-GREENBERG
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Credential | PH.D.
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Telephone | 631-209-7917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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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 |
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License Number State |
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