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General NPI Number Information
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NPI Number | 1700091071
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Entity Type | Organization
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Legal Business Name | INSTITUTE PSYCHOTHERAPY ASSOCIATES
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 85 5TH AVE SUITE 905
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City | NEW YORK
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State | NY
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Zip | 10003-3019
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Country | US
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Telephone | 212-242-5052
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Fax | 212-627-9678
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Provider Business Mailing Address
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Address Line | 85 5TH AVE SUITE 905
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City | NEW YORK
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State | NY
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Zip | 10003-3019
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Country | US
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Telephone | 212-242-5052
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Fax | 212-627-9678
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ELIAS J. GUERRERO
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Credential | M.D.
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Telephone | 212-242-5052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | NY
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