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General NPI Number Information
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NPI Number | 1942680921
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Entity Type | Individual
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Provider Name | ELIZABETH BYRNES YOUNG LMHC
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Gender | Female
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Dates
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Enumeration Date | 06/04/2015
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Last Update Date | 02/19/2023
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Provider Practice Location Address
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Address Line | 3 COLUMBUS CIRCLE 15TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10019
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Country | US
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Telephone | 646-245-2021
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Fax | 646-530-8678
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Provider Business Mailing Address
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Address Line | 2 BROOKSIDE DR
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-6604
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Country | US
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Telephone | 914-424-2246
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 008017
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License Number State | NY
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