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General NPI Number Information
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NPI Number | 1699364281
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Entity Type | Organization
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Legal Business Name | REGIONAL NP IN PSYCHIATRY
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Dates
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Enumeration Date | 01/18/2021
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 170 HALPIN AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10312-1227
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Country | US
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Telephone | 464-528-2006
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Fax | 646-452-8202
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Provider Business Mailing Address
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Address Line | 170 HALPIN AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10312-1227
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Country | US
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Telephone | 646-452-8200
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Fax | 646-452-8202
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Authorized Official
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Title or Position | PRESIDENT
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Name | KATHLEEN W CILIONE
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Credential | NP
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Telephone | 646-452-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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