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General NPI Number Information
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NPI Number | 1659589711
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Entity Type | Organization
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Legal Business Name | BEVERLEY D. ZABRISKIE
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Dates
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Enumeration Date | 05/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 952 5TH AVE 5C
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City | NEW YORK
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State | NY
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Zip | 10021-1740
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Country | US
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Telephone | 212-570-0959
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Fax |
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Provider Business Mailing Address
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Address Line | 952 5TH AVE 5C
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City | NEW YORK
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State | NY
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Zip | 10021-1740
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Country | US
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Telephone | 212-570-0959
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. BEVERLEY D. ZABRISKIE
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Credential | L.C.S.W.
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Telephone | 212-570-0959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R022026-1
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License Number State | NY
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