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General NPI Number Information
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NPI Number | 1912612045
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Entity Type | Organization
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Legal Business Name | NEW YORK HEALTH PSYCHOLOGY, PC
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 2 FOX HOLLOW RIDINGS CT
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City | NORTHPORT
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State | NY
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Zip | 11768-2241
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Country | US
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Telephone | 516-810-3404
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Fax |
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Provider Business Mailing Address
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Address Line | 2 FOX HOLLOW RIDINGS CT
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City | NORTHPORT
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State | NY
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Zip | 11768-2241
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Country | US
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Telephone | 631-261-6312
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GABRIELLE ROSINA CHIARAMONTE
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Credential | PHD
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Telephone | 516-810-3404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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