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General NPI Number Information
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NPI Number | 1720258387
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Entity Type | Organization
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Legal Business Name | TRANSITIONAL SERVICES FOR NY
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 10/04/2016
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Provider Practice Location Address
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Address Line | 1016 162ND ST
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City | WHITESTONE
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State | NY
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Zip | 11357-2124
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Country | US
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Telephone | 718-746-6647
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Fax | 718-746-6799
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Provider Business Mailing Address
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Address Line | 1016 162ND ST
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City | WHITESTONE
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State | NY
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Zip | 11357-2124
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Country | US
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Telephone | 718-746-6647
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Fax | 718-746-6799
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Authorized Official
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Title or Position | CFO
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Name | STAN CORFMAN
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Credential |
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Telephone | 718-746-6647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging 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 | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number |
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License Number State |
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