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General NPI Number Information
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NPI Number | 1851757439
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Entity Type | Organization
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Legal Business Name | EMPIRE THERAPY LCSW PLLC
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Dates
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Enumeration Date | 01/12/2016
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Last Update Date | 01/12/2016
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Provider Practice Location Address
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Address Line | 3 W 57TH ST 10 FL
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City | NEW YORK
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State | NY
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Zip | 10019-3407
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Country | US
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Telephone | 646-926-2822
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Fax |
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Provider Business Mailing Address
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Address Line | 3 W 57TH ST 10 FL
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City | NEW YORK
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State | NY
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Zip | 10019-3407
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Country | US
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Telephone | 646-926-2822
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | HEATHER SUTTER
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Credential |
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Telephone | 646-926-2822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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