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General NPI Number Information
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NPI Number | 1881922821
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Entity Type | Organization
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Legal Business Name | NEW YORK-PRESBYTERIAN HOSPITAL
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Dates
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Enumeration Date | 12/03/2009
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Last Update Date | 12/03/2009
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Provider Practice Location Address
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Address Line | 622 W. 168TH ST, VC401 NEW YORK-PRESBYTERIAN HOSPITAL
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City | NEW YORK
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State | NY
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Zip | 10032
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Country | US
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Telephone | 212-305-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 622 W. 168TH ST, VC401 NEW YORK-PRESBYTERIAN HOSPITAL
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City | NEW YORK
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State | NY
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Zip | 10032
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Country | US
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Telephone | 212-305-5000
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | JACQUELINE HIDALGO
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Credential | LMSW
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Telephone | 212-305-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 069020-1
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License Number State | NY
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