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General NPI Number Information
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NPI Number | 1760719306
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Entity Type | Organization
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Legal Business Name | PSYCHOTHERAPY COUNSELING AND HOME CARE OF GREATER NEW YORK INC.
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Dates
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Enumeration Date | 11/03/2009
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Last Update Date | 11/03/2009
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Provider Practice Location Address
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Address Line | 464 WESTB141 STREET SUITE 1
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City | NEW YORK
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State | NY
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Zip | 10031-6202
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Country | US
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Telephone | 347-677-6422
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Fax | 212-810-2890
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Provider Business Mailing Address
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Address Line | 464 W 141ST ST SUITE 1
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City | NEW YORK
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State | NY
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Zip | 10031-6202
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Country | US
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Telephone | 347-677-6422
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Fax | 212-810-2890
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. FELICIA STALLWORTH
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Credential | RN
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Telephone | 347-677-6422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 9408L001
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License Number State | NY
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