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General NPI Number Information
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NPI Number | 1760143192
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Entity Type | Individual
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Provider Name | ANTON KRASNITSKIY
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Gender | Male
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 88 ELM ST APT 1203
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City | ROCHESTER
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State | NY
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Zip | 14604-2233
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Country | US
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Telephone | 917-971-1308
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Fax |
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Provider Business Mailing Address
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Address Line | 2673 E 65TH ST
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City | BROOKLYN
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State | NY
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Zip | 11234-6823
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Country | US
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Telephone | 646-860-0578
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 016640
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License Number State |
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