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General NPI Number Information
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NPI Number | 1679714877
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Entity Type | Organization
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Legal Business Name | DR. JOSEPH A. HIRSCH, PSY.D., PLLC
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Dates
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Enumeration Date | 03/18/2009
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Last Update Date | 03/18/2009
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Provider Practice Location Address
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Address Line | 280 MADISON AVE SUITE 1402
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City | NEW YORK
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State | NY
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Zip | 10016-0801
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Country | US
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Telephone | 917-865-5066
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Fax |
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Provider Business Mailing Address
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Address Line | 55 PERRY ST
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City | NEW YORK
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State | NY
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Zip | 10014-3218
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Country | US
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Telephone | 917-865-5066
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. JOSEPH HIRSCH
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Credential | PSY.D.
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Telephone | 917-865-5066
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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 | 012885
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License Number State | NY
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