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NPI 1588448146

NPI 1588448146 : KEARA MAGERAS PSY.D. : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1588448146
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    Entity Type          |    Individual 
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    Provider Name        |    KEARA MAGERAS PSY.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/23/2023
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    Last Update Date     |    04/04/2025
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Provider Practice Location Address
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    Address Line         |    45 RIVINGTON ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10002-1304
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    Country              |    US
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    Telephone            |    203-979-0984
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    146 S 4TH ST APT 2F 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11211-5502
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    Country              |    US
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    Telephone            |    203-979-0984
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    026571
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    License Number State |    NY
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