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General NPI Number Information
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NPI Number | 1740211143
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Entity Type | Organization
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Legal Business Name | SERVICE PROGRAM FOR OLDER PEOPLE INC
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 302 W 91ST ST
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City | NEW YORK
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State | NY
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Zip | 10024-1011
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Country | US
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Telephone | 212-787-7120
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Fax |
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Provider Business Mailing Address
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Address Line | 302 W 91ST ST 2ND FLR
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City | NEW YORK
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State | NY
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Zip | 10024-1011
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Country | US
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Telephone | 212-787-7120
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Fax | 212-580-0533
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Authorized Official
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Title or Position | EXEC DIRECTOR
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Name | NANCY HARVEY
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Credential | LMSW
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Telephone | 212-787-7120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number |
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License Number State |
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