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General NPI Number Information
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NPI Number | 1750723219
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Entity Type | Organization
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Legal Business Name | MANHATTAN COGNITIVE-BEHAVIORAL THERAPY/PSYCHOLOGY, PLLC
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Dates
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Enumeration Date | 07/25/2013
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Last Update Date | 07/25/2013
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Provider Practice Location Address
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Address Line | 276 5TH AVE STE #905
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City | NEW YORK
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State | NY
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Zip | 10001-4509
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Country | US
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Telephone | 917-693-6186
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Fax | 347-694-8199
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Provider Business Mailing Address
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Address Line | 276 5TH AVE STE #905
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City | NEW YORK
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State | NY
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Zip | 10001-4509
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Country | US
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Telephone | 917-693-6186
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Fax | 347-694-8199
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. PAUL GREENE
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Credential | PH.D.
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Telephone | 646-863-4225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 016452
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License Number State | NY
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