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General NPI Number Information
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NPI Number | 1730124025
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Entity Type | Organization
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Legal Business Name | THE CHILDREN'S AID SOCIETY
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 910 EAST 172ND STREET BRONX FAMILY CENTER
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City | BRONX
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State | NY
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Zip | 10460
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Country | US
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Telephone | 347-767-2221
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Fax | 718-328-7494
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Provider Business Mailing Address
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Address Line | 117 W 124TH ST FL 6
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City | NEW YORK
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State | NY
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Zip | 10027-4920
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Country | US
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Telephone | 212-949-4800
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Fax | 212-986-9635
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JUSTIN KOPA
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Credential | MD
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Telephone | 929-697-2947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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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 | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | NY
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