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General NPI Number Information
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NPI Number | 1972124527
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Entity Type | Organization
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Legal Business Name | LIZA KURITSKY LCSW PSYCHOTHERAPY PLLC
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Dates
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Enumeration Date | 05/05/2020
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Last Update Date | 05/05/2020
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Provider Practice Location Address
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Address Line | 156 5TH AVE STE 1107
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City | NEW YORK
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State | NY
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Zip | 10010-7749
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Country | US
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Telephone | 718-982-7284
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Fax |
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Provider Business Mailing Address
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Address Line | 132 NORMAN AVE APT 1R
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City | BROOKLYN
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State | NY
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Zip | 11222-2915
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Country | US
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Telephone | 973-879-0753
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LIZA F KURITSKY
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Credential | LCSW
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Telephone | 973-879-0753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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