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General NPI Number Information
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NPI Number | 1841001880
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND CENTER FOR OCD AND ANXIETY NEW YORK
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 242 W 30TH ST FL 6
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City | NEW YORK
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State | NY
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Zip | 10001-0695
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Country | US
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Telephone | 929-487-5631
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Fax |
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Provider Business Mailing Address
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Address Line | 350 NORTHERN BLVD STE 324-1397
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City | ALBANY
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State | NY
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Zip | 12204-1000
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Country | US
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Telephone | 929-487-5631
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Fax |
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Authorized Official
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Title or Position | CLINIC COORDINATOR
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Name | GABRIELA FITZPATRICK
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Credential |
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Telephone | 929-487-5631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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