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General NPI Number Information
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NPI Number | 1669668224
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Entity Type | Organization
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Legal Business Name | LESBIAN AND GAY COMMUNITY SERVICES CENTER, INC.
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 208 WEST 13TH ST.
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City | NEW YORK
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State | NY
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Zip | 10011
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Country | US
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Telephone | 212-620-7310
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Fax | 212-924-2657
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Provider Business Mailing Address
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Address Line | 208 WEST 13TH ST.
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City | NEW YORK
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State | NY
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Zip | 10011
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Country | US
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Telephone | 212-620-7310
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Fax | 212-924-2657
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. JEFFREY KLEIN
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Credential | ESQ
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Telephone | 646-358-1719
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 080711628
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 078203
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License Number State | NY
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