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General NPI Number Information
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NPI Number | 1942092333
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Entity Type | Organization
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Legal Business Name | ASTORIA MIND CARE CORP
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 1752 FRANCIS LEWIS BLVD
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City | WHITESTONE
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State | NY
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Zip | 11357-3247
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Country | US
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Telephone | 917-361-1448
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Fax |
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Provider Business Mailing Address
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Address Line | 594 CLIFF ST
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-1604
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Country | US
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Telephone | 917-361-1448
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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 | MOHAMED ALHENNAWY
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Credential |
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Telephone | 973-790-9222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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