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General NPI Number Information
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NPI Number | 1942036678
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Entity Type | Organization
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Legal Business Name | ROBYN S. DELUCA PH.D.
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Dates
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Enumeration Date | 09/10/2024
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 75 W END AVE APT R5A
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City | NEW YORK
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State | NY
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Zip | 10023-7882
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Country | US
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Telephone | 917-274-7196
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20015
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City | NEW YORK
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State | NY
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Zip | 10023-1482
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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 | OWNER
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Name | DR. ROBYN S. DELUCA
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Credential | PH.D.
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Telephone | 631-942-9422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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