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General NPI Number Information
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NPI Number | 1831311950
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Entity Type | Individual
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Provider Name | PHILIP M. DRUCKER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 401 BLOOMINGDALE RD
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City | STATEN ISLAND
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State | NY
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Zip | 10309-2010
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Country | US
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Telephone | 718-227-7063
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Fax | 718-227-7063
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Provider Business Mailing Address
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Address Line | 15 ROWENA RD
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City | MANALAPAN
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State | NJ
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Zip | 07726-1718
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Country | US
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Telephone | 718-614-2596
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Fax | 718-227-7063
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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 | 013445
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License Number State | NY
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