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NPI 1578745329

NPI 1578745329 : HARRY L. GRABARZ, PH.D.,L.C.S.W.,P.C. : ROSLYN HEIGHTS, NY

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General NPI Number Information
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    NPI Number           |    1578745329
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    Entity Type          |    Organization 
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    Legal Business Name  |    HARRY L. GRABARZ, PH.D.,L.C.S.W.,P.C. 
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Dates
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    Enumeration Date     |    12/04/2007
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    Last Update Date     |    12/04/2007
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Provider Practice Location Address
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    Address Line         |    70 GLEN COVE RD 
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    City                 |    ROSLYN HEIGHTS
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    State                |    NY
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    Zip                  |    11577-1726
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    Country              |    US
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    Telephone            |    516-484-6644
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    Fax                  |    516-484-6644
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Provider Business Mailing Address
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    Address Line         |    70 GLEN COVE RD 
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    City                 |    ROSLYN HEIGHTS
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    State                |    NY
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    Zip                  |    11577-1726
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    Country              |    US
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    Telephone            |    516-484-6644
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    Fax                  |    516-484-6644
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. HARRY  GRABARZ 
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    Credential           |    PH.D.,L.C.S.W.
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    Telephone            |    516-484-6644
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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       |    PR016580-1
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    License Number State |    NY
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