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General NPI Number Information
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NPI Number | 1659816940
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Entity Type | Individual
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Provider Name | JINNY KATHLEEN PRAIS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/22/2016
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 250 W 57TH ST SUITE 501
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City | NEW YORK
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State | NY
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Zip | 10107-0001
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Country | US
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Telephone | 212-582-1566
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Fax | 212-586-1272
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Provider Business Mailing Address
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Address Line | 306 W 93RD ST APT 61
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City | NEW YORK
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State | NY
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Zip | 10025-7217
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Country | US
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Telephone | 347-709-9132
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 001261
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License Number State | NY
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