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General NPI Number Information
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NPI Number | 1962042481
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Entity Type | Organization
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Legal Business Name | MANHATTAN COGNITIVE PSYCHOLOGICAL THERAPY CONSULTANTS, P.C.
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Dates
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Enumeration Date | 01/13/2020
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Last Update Date | 01/13/2020
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Provider Practice Location Address
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Address Line | 19 W 34TH ST PH
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City | NEW YORK
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State | NY
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Zip | 10001-3006
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Country | US
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Telephone | 212-724-3530
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Fax | 646-417-6141
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Provider Business Mailing Address
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Address Line | 19 W 34TH ST PH
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City | NEW YORK
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State | NY
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Zip | 10001-3006
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Country | US
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Telephone | 212-724-3530
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Fax | 646-417-6141
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. ELENI MARCANTONIS
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Credential | PSY.D.
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Telephone | 212-724-3530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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