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General NPI Number Information
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NPI Number | 1639394067
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Entity Type | Individual
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Provider Name | GREGORY TAU MD
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Gender | Male
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 11/08/2021
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Provider Practice Location Address
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Address Line | 345 7TH AVE STE 1601-I
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City | NEW YORK
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State | NY
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Zip | 10001-5006
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Country | US
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Telephone | 917-568-4780
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Fax | 212-954-5502
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Provider Business Mailing Address
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Address Line | 345 7TH AVE STE 1601-I
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City | NEW YORK
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State | NY
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Zip | 10001-5006
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Country | US
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Telephone | 917-568-4780
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Fax | 212-954-5502
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 230071
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 230071
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 230071
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License Number State | NY
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