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General NPI Number Information
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NPI Number | 1982213005
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Entity Type | Organization
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Legal Business Name | EMPIRE NP PSYCHIATRY PC
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Dates
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Enumeration Date | 07/24/2020
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Last Update Date | 11/05/2020
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Provider Practice Location Address
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Address Line | 100 N VILLAGE AVE STE 27
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3712
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Country | US
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Telephone | 516-784-0377
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Fax | 516-888-8235
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Provider Business Mailing Address
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Address Line | 2 HAZEL PL
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City | WOODMERE
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State | NY
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Zip | 11598-1108
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Country | US
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Telephone | 516-784-0377
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YOEL WARTENBERG
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Credential | NP
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Telephone | 516-784-0377
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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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