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General NPI Number Information
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NPI Number | 1922804517
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Entity Type | Organization
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Legal Business Name | EMMIE MACALISANG, NURSE PRACTITIONER IN PSYCHIATRY PLLC
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 25 MELVILLE PARK RD STE 236
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City | MELVILLE
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State | NY
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Zip | 11747-3178
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Country | US
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Telephone | 347-673-1384
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Fax |
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Provider Business Mailing Address
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Address Line | 3520 35TH ST APT C21
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City | ASTORIA
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State | NY
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Zip | 11106-1655
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PMHNP-BC
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Name | EMMIE MACALISANG
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Credential |
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Telephone | 347-673-1384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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