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General NPI Number Information
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NPI Number | 1679001077
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Entity Type | Organization
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Legal Business Name | RAMINFAR PSYCHOLOGY PLLC
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Dates
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Enumeration Date | 05/30/2017
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Last Update Date | 05/30/2017
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Provider Practice Location Address
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Address Line | 2460 FLATBUSH AVE STE 10
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City | BROOKLYN
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State | NY
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Zip | 11234-5015
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Country | US
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Telephone | 718-419-9859
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Fax |
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Provider Business Mailing Address
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Address Line | 1661 E 12TH ST
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City | BROOKLYN
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State | NY
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Zip | 11229-1011
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Country | US
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Telephone | 718-419-9859
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | ESTHER PEARL-RAMINFAR
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Credential | PSYD
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Telephone | 718-419-9859
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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 | 021942
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License Number State | NY
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