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NPI 1780230177

NPI 1780230177 : KATHLEEN PATRICIA HURLEY PSY.D. : GARDEN CITY, NY

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General NPI Number Information
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    NPI Number           |    1780230177
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    Entity Type          |    Individual 
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    Provider Name        |    KATHLEEN PATRICIA HURLEY PSY.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/13/2019
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    Last Update Date     |    11/21/2024
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Provider Practice Location Address
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    Address Line         |    600 OLD COUNTRY RD RM 237 
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    City                 |    GARDEN CITY
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    State                |    NY
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    Zip                  |    11530-2031
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    Country              |    US
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    Telephone            |    516-732-1644
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    600 OLD COUNTRY RD RM 237 
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    City                 |    GARDEN CITY
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    State                |    NY
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    Zip                  |    11530-2031
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    Country              |    US
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    Telephone            |    516-732-1644
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    023309
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    License Number State |    NY
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