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General NPI Number Information
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NPI Number | 1962328419
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Entity Type | Organization
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Legal Business Name | DR MICAH ENGEL NURSE PRACTITIONER IN PSYCHIATRY P.C.
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 109 N 12TH ST STE 706
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City | BROOKLYN
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State | NY
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Zip | 11249-1002
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Country | US
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Telephone | 718-673-2002
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Fax | 855-932-4886
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Provider Business Mailing Address
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Address Line | 14131 72ND AVE
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City | FLUSHING
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State | NY
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Zip | 11367-2331
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Country | US
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Telephone | 718-673-2002
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Fax | 855-932-4886
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | DR. MICAH B ENGEL
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Credential | NP
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Telephone | 718-673-2002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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