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General NPI Number Information
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NPI Number | 1891956413
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Entity Type | Organization
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Legal Business Name | DIAGNOSTICS, LLP
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 111 N CENTRAL AVE SUITE 240
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City | HARTSDALE
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State | NY
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Zip | 10530-1903
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Country | US
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Telephone | 914-946-4466
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Fax | 914-949-4862
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Provider Business Mailing Address
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Address Line | 111 N CENTRAL AVE SUITE 240
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City | HARTSDALE
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State | NY
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Zip | 10530-1903
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Country | US
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Telephone | 914-946-4466
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Fax | 914-949-4862
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Authorized Official
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Title or Position | PSYCHOLOGIST/CHIEF EXECUTIVE OFFICE
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Name | DR. JONATHAN SINOWITZ
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Credential | PSY.D.
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Telephone | 914-946-4466
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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 | 013434-1
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License Number State | NY
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