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General NPI Number Information
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NPI Number | 1669398442
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Entity Type | Organization
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Legal Business Name | PISAREVA CITADEL GROUP LLC
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 440 E 77TH ST APT 2B
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City | NEW YORK
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State | NY
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Zip | 10075-2369
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Country | US
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Telephone | 347-382-2830
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Fax |
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Provider Business Mailing Address
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Address Line | 440 E 77TH ST APT 2B
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City | NEW YORK
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State | NY
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Zip | 10075-2369
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Country | US
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Telephone | 347-382-2830
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NATALIA POLUEKTOVA
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Credential | CEO
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Telephone | 347-382-2830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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