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General NPI Number Information
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NPI Number | 1831534825
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Entity Type | Organization
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Legal Business Name | DR ROBERT RIORDAN-CLINICAL PSYCHOLOGIST PLLC
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Dates
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Enumeration Date | 05/03/2013
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Last Update Date | 05/03/2013
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Provider Practice Location Address
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Address Line | 240 W END AVE 1B
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City | NEW YORK
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State | NY
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Zip | 10023-0135
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Country | US
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Telephone | 212-203-3118
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Fax |
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Provider Business Mailing Address
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Address Line | 257 W 117TH ST 4C
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City | NEW YORK
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State | NY
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Zip | 10026-2185
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Country | US
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Telephone | 212-203-3118
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROBERT RIORDAN
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Credential | PSYD
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Telephone | 212-203-3118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 019637
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License Number State | NY
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