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General NPI Number Information
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NPI Number | 1598218182
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Entity Type | Individual
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Provider Name | NATALIA KONSTANCJA MASSAR PMHNP
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Gender | Female
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Dates
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Enumeration Date | 07/29/2016
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 555 NORTH AVE APT 12S
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City | FORT LEE
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State | NJ
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Zip | 07024-2414
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Country | US
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Telephone | 917-371-4455
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Fax |
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Provider Business Mailing Address
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Address Line | 25 W 45TH ST FL 10
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City | NEW YORK
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State | NY
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Zip | 10036-4916
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Country | US
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Telephone | 516-505-7200
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 403782
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F34440
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License Number State | NY
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