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General NPI Number Information
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NPI Number | 1720767635
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Entity Type | Organization
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Legal Business Name | BRIGHT HORIZONS PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 40 EXCHANGE PL STE 510
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City | NEW YORK
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State | NY
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Zip | 10005-2775
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Country | US
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Telephone | 646-470-0606
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Fax |
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Provider Business Mailing Address
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Address Line | 3117 BROADWAY APT 47
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City | NEW YORK
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State | NY
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Zip | 10027-4614
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | AGNIESZKA MARTA CAIN
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Credential | MD
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Telephone | 646-470-0606
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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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