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General NPI Number Information
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NPI Number | 1669886099
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Entity Type | Organization
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Legal Business Name | HEALTHY CONNECTIONS PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 06/13/2014
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Last Update Date | 11/20/2016
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Provider Practice Location Address
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Address Line | 561 10TH AVE SUITE 29H
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City | NEW YORK
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State | NY
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Zip | 10036-3033
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Country | US
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Telephone | 212-242-5033
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Fax |
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Provider Business Mailing Address
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Address Line | 561 10TH AVE SUITE 29H
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City | NEW YORK
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State | NY
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Zip | 10036-3033
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Country | US
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Telephone | 212-242-5033
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. FRANK JOHN CORIGLIANO
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Credential | PH.D
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Telephone | 212-242-5033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State | NY
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