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General NPI Number Information
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NPI Number | 1942430483
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Entity Type | Organization
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Legal Business Name | METROPOLITAN BEHAVIORAL HEALTH SERVICES-PSYCHIATRY, LLC
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Dates
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Enumeration Date | 07/17/2009
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Last Update Date | 07/14/2013
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Provider Practice Location Address
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Address Line | 242 E 72ND ST SUITE 1-A
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City | NEW YORK
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State | NY
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Zip | 10021-4574
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Country | US
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Telephone | 212-706-7494
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1032
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City | NEW YORK
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State | NY
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Zip | 10276-1032
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Country | US
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Telephone | 212-706-7494
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. MICHELE CAMPIONE
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Credential | M.D.
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Telephone | 212-706-7494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number |
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License Number State |
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