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General NPI Number Information
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NPI Number | 1932631801
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Entity Type | Organization
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Legal Business Name | ALQUIMEDEZ MENTAL HEALTH COUNSELING
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Dates
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Enumeration Date | 03/30/2017
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 246 W 80TH ST FL 4 STE 15
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City | NEW YORK
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State | NY
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Zip | 10024
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Country | US
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Telephone | 315-505-2400
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Fax | 914-505-2458
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Provider Business Mailing Address
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Address Line | 2248 BROADWAY STE 1329
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City | NEW YORK
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State | NY
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Zip | 10024-5805
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Country | US
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Telephone | 315-610-6675
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Fax | 914-505-2458
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | HENRY A MONTERO
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Credential |
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Telephone | 315-533-0453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0054041
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License Number State | NY
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 0054041
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 192617
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 0054041
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License Number State | NY
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