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General NPI Number Information
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NPI Number | 1871839415
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Entity Type | Organization
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Legal Business Name | GREHAN PSYCHOLOGICAL SOLUTIONS PLLC
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Dates
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Enumeration Date | 01/01/2013
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Last Update Date | 06/21/2013
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Provider Practice Location Address
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Address Line | 721 FRANKLIN AVE
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City | GARDEN CITY
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State | NY
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Zip | 11530-4524
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Country | US
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Telephone | 516-256-9250
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Fax | 516-248-6788
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Provider Business Mailing Address
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Address Line | 721 FRANKLIN AVE
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City | GARDEN CITY
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State | NY
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Zip | 11530-4524
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Country | US
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Telephone | 516-256-9250
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Fax | 516-248-6788
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Authorized Official
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Title or Position | OWNER
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Name | DR. PATRICK GREHAN
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Credential | PHD
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Telephone | 516-256-9250
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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 | 014194
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License Number State | NY
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