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NPI 1881842490

NPI 1881842490 : KENNETH F EINHORN PH.D : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1881842490
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    Entity Type          |    Individual 
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    Provider Name        |    KENNETH F EINHORN PH.D
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/08/2008
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    Last Update Date     |    09/08/2008
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Provider Practice Location Address
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    Address Line         |    2090 7TH AVE 7TH FLOOR
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10027-4990
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    Country              |    US
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    Telephone            |    347-461-3505
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    Fax                  |    718-772-0289
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Provider Business Mailing Address
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    Address Line         |    2090 7TH AVE 7TH FLOOR
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10027-4990
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    Country              |    US
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    Telephone            |    347-461-3505
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    Fax                  |    718-772-0289
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    68 015690
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    License Number State |    NY
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