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General NPI Number Information
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NPI Number | 1902327943
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Entity Type | Organization
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Legal Business Name | ELAINE YUDKOVITZ PHD,LCSW,PC
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Dates
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Enumeration Date | 06/29/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 80 EIGHTH AVENUE SUITE 1605
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City | NEW YORK
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State | NY
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Zip | 10011
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Country | US
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Telephone | 212-989-3689
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Fax | 212-989-3689
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Provider Business Mailing Address
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Address Line | 80 8TH AVE STE 1605
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City | NEW YORK
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State | NY
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Zip | 10011-7154
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Country | US
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Telephone | 212-989-3689
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Fax | 212-989-3689
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELAINE YUDKOVITZ
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Credential | PHD, LCSW
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Telephone | 212-989-3689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | PRO29392
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License Number State | NY
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