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General NPI Number Information
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NPI Number | 1922703750
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Entity Type | Organization
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Legal Business Name | CHINEZE I. WORTHINGTON MD PLLC
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 04/11/2024
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Provider Practice Location Address
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Address Line | 1 NEPERAN RD
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City | TARRYTOWN
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State | NY
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Zip | 10591-3436
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Country | US
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Telephone | 914-893-4232
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Fax | 914-356-8352
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Provider Business Mailing Address
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Address Line | 1 NEPERAN RD
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City | TARRYTOWN
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State | NY
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Zip | 10591-3436
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Country | US
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Telephone | 914-893-4232
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Fax | 914-356-8352
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. CHINEZE I WORTHINGTON
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Credential | MD
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Telephone | 646-685-4682
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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 |
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License Number State |
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