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General NPI Number Information
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NPI Number | 1710631460
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Entity Type | Organization
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Legal Business Name | UNION SQUARE COGNITIVE THERAPY/PSYCHOLOGY, PLLC
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 03/05/2022
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Provider Practice Location Address
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Address Line | 853 BROADWAY STE 2001
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City | NEW YORK
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State | NY
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Zip | 10003-4705
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Country | US
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Telephone | 917-854-7092
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Fax |
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Provider Business Mailing Address
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Address Line | 853 BROADWAY STE 2001
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City | NEW YORK
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State | NY
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Zip | 10003-4705
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Country | US
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Telephone | 917-854-7092
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. RENE D ZWEIG
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Credential | PHD
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Telephone | 917-854-7092
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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