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General NPI Number Information
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NPI Number | 1982455069
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Entity Type | Organization
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Legal Business Name | CENTRAL PARK PSYCHIATRY
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Dates
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Enumeration Date | 03/28/2024
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 983 PARK AVE STE 1E
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City | NEW YORK
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State | NY
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Zip | 10028-0808
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Country | US
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Telephone | 646-820-0164
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Fax | 646-453-6203
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Provider Business Mailing Address
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Address Line | 266 ELDERWOOD AVE
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City | PELHAM
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State | NY
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Zip | 10803-2308
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Country | US
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Telephone | 917-412-9638
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHIATRIST
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Name | DR. WENDY NASH MOYAL
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Credential | MD
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Telephone | 646-820-0164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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