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General NPI Number Information
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NPI Number | 1902381064
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Entity Type | Organization
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Legal Business Name | STATEN ISLAND MENTAL HEALTH COUNSELING PLLC
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Dates
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Enumeration Date | 09/25/2018
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Last Update Date | 09/25/2018
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Provider Practice Location Address
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Address Line | 2285 VICTORY BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10314-6625
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Country | US
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Telephone | 917-273-3119
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Fax |
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Provider Business Mailing Address
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Address Line | 2285 VICTORY BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10314-6625
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Country | US
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Telephone | 917-273-3119
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Fax |
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Authorized Official
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Title or Position | LMHC/OWNER
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Name | CHRISTINA GIULIANO
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Credential |
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Telephone | 917-273-3119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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