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General NPI Number Information
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NPI Number | 1619320025
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Entity Type | Individual
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Provider Name | PATRICK E. DIGENOVA MD
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Gender | Male
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Dates
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Enumeration Date | 07/20/2016
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Last Update Date | 02/04/2021
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Provider Practice Location Address
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Address Line | MOUNT SINAI BETH ISRAEL 10 NATHAN D. PERLMAN PLACE
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City | NEW YORK
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State | NY
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Zip | 10003
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Country | US
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Telephone | 201-776-8610
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Fax |
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Provider Business Mailing Address
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Address Line | 89 CENTRAL AVE
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City | JERSEY CITY
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State | NJ
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Zip | 07306-2124
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Country | US
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Telephone | 201-776-8610
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA10743500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 303513
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License Number State | NY
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