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General NPI Number Information
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NPI Number | 1700604212
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Entity Type | Organization
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Legal Business Name | ANXIETY AND DEPRESSION PSYCHIATRY PC
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 49 CUTTERMILL RD
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City | GREAT NECK
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State | NY
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Zip | 11021-3259
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Country | US
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Telephone | 646-830-0131
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Fax | 516-467-4102
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Provider Business Mailing Address
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Address Line | 20B OAKLAND DR
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-4126
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Country | US
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Telephone | 516-375-1564
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. TOMER LEVIN
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Credential | MD
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Telephone | 516-375-1564
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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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