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General NPI Number Information
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NPI Number | 1902252554
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Entity Type | Organization
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Legal Business Name | CENTRAL PARK SOUTH PSYCHIATRY
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Dates
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Enumeration Date | 05/12/2016
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Last Update Date | 05/12/2016
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Provider Practice Location Address
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Address Line | 30 CENTRAL PARK S RM 11A
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City | NEW YORK
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State | NY
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Zip | 10019-1647
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Country | US
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Telephone | 646-495-8936
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Fax | 646-495-9836
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Provider Business Mailing Address
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Address Line | 30 CENTRAL PARK S RM 11A
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City | NEW YORK
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State | NY
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Zip | 10019-1647
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Country | US
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Telephone | 646-495-8936
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Fax | 646-495-9836
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER CONTI
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Credential | MD
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Telephone | 202-413-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 251792
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License Number State | NY
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