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General NPI Number Information
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NPI Number | 1962648378
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Entity Type | Individual
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Provider Name | EDIE JOY SASSON-GELMAN PH.D., CRC
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Gender | Female
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 41 CENTRAL PARK W APT 1H
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City | NEW YORK
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State | NY
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Zip | 10023-6732
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Country | US
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Telephone | 917-830-4456
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Fax | 888-972-3492
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Provider Business Mailing Address
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Address Line | 954 LEXINGTON AVE # 287
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City | NEW YORK
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State | NY
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Zip | 10021-5055
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Country | US
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Telephone | 917-830-4456
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Fax | 888-972-3492
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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 | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number | PSY25477
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 021599
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License Number State | NY
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