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NPI 1760054589

NPI 1760054589 : ASTORIA COUNSELING PSYCHOLOGY THERAPY SERVICES, PLLC : LONG ISLAND CITY, NY

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General NPI Number Information
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    NPI Number           |    1760054589
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASTORIA COUNSELING PSYCHOLOGY THERAPY SERVICES, PLLC 
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Dates
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    Enumeration Date     |    07/12/2021
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    Last Update Date     |    07/12/2021
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Provider Practice Location Address
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    Address Line         |    3407 41ST ST APT 2L 
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    City                 |    LONG ISLAND CITY
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    State                |    NY
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    Zip                  |    11101-8600
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    Country              |    US
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    Telephone            |    718-392-2567
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3407 41ST ST APT 2L 
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    City                 |    LONG ISLAND CITY
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    State                |    NY
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    Zip                  |    11101-8600
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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    |    DIRECTOR
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    Name                 |     NONDA  VOLPE 
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    Credential           |    PSYD
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    Telephone            |    718-392-2567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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