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General NPI Number Information
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NPI Number | 1780476929
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Entity Type | Individual
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Provider Name | MICHELLE ALESSIA CARDONE PSYD
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Gender | Female
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 100 MERRICK RD STE 106E
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4801
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Country | US
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Telephone | 516-696-8401
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Fax | 929-822-4061
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Provider Business Mailing Address
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Address Line | 6965 YELLOWSTONE BLVD APT 302
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City | FOREST HILLS
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State | NY
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Zip | 11375-2015
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Country | US
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Telephone | 631-466-7281
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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 | 027231
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License Number State | NY
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