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NPI 1598153918

NPI 1598153918 : CENTRAL NASSAU GUIDANCE AND COUNSELING SERVICES, INC. : BRENTWOOD, NY

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General NPI Number Information
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    NPI Number           |    1598153918
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    Entity Type          |    Organization 
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    Legal Business Name  |    CENTRAL NASSAU GUIDANCE AND COUNSELING SERVICES, INC. 
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Dates
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    Enumeration Date     |    01/07/2015
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    Last Update Date     |    01/07/2015
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Provider Practice Location Address
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    Address Line         |    998 CROOKED HILL RD BUILDING 71
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    City                 |    BRENTWOOD
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    State                |    NY
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    Zip                  |    11717-1019
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    Country              |    US
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    Telephone            |    631-532-2746
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    Fax                  |    631-822-1123
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Provider Business Mailing Address
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    Address Line         |    998 CROOKED HILL RD BUILDING 71
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    City                 |    BRENTWOOD
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    State                |    NY
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    Zip                  |    11717-1019
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    Country              |    US
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    Telephone            |    631-532-2746
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    Fax                  |    631-822-1123
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Authorized Official
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    Title or Position    |    PROS DIRECTOR
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    Name                 |    MS. SHERRI  KAPLAN 
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    Credential           |    LCSW-R, CASAC-T
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    Telephone            |    516-938-7568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    082405
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    License Number State |    NY
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