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NPI 1962620369

NPI 1962620369 : ROBIN HIRTZ MELTZER PH.D : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1962620369
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    Entity Type          |    Individual 
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    Provider Name        |    ROBIN HIRTZ MELTZER PH.D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/23/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    654 MADISON AVE SUITE 1905
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10021-8404
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    Country              |    US
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    Telephone            |    212-826-6285
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1175 PARK AVE 3A
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10128-1211
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    Country              |    US
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    Telephone            |    212-410-4411
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    009399-1
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    License Number State |    NY
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