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General NPI Number Information
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NPI Number | 1841168093
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Entity Type | Organization
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Legal Business Name | ELIZABETH DIGIACOMANTONIO CREATIVE ARTS THERAPY PLLC
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 169 MADISON AVE STE 15174
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City | NEW YORK
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State | NY
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Zip | 10016-5101
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Country | US
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Telephone | 929-282-0527
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Fax |
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Provider Business Mailing Address
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Address Line | 169 MADISON AVE STE 15174
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City | NEW YORK
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State | NY
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Zip | 10016-5101
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ART THERAPIST
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Name | ELIZABETH DIGIACOMANTONIO
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Credential | LCAT, ATR-BC
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Telephone | 347-206-2904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number |
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License Number State |
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