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NPI 1912854704

NPI 1912854704 : BETSHEVA ROYTBURD MSW LP : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1912854704
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    Entity Type          |    Individual 
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    Provider Name        |    BETSHEVA ROYTBURD MSW LP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/11/2026
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    Last Update Date     |    03/11/2026
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Provider Practice Location Address
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    Address Line         |    34 PLAZA ST E STE P109 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11238-5047
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    Country              |    US
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    Telephone            |    646-490-1930
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    Fax                  |    646-809-8580
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Provider Business Mailing Address
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    Address Line         |    84 ELDRIDGE ST APT 7 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10002-5236
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    Country              |    US
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    Telephone            |    917-796-8965
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    P141146
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    License Number State |    NY
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