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General NPI Number Information
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NPI Number | 1982660528
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Entity Type | Organization
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Legal Business Name | KRAMER SMITH PSYCHOLOGY ASSOCIATES PC
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Dates
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Enumeration Date | 04/23/2006
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Last Update Date | 09/29/2010
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Provider Practice Location Address
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Address Line | 209 CLINTON ST
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City | BROOKLYN
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State | NY
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Zip | 11201-6268
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Country | US
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Telephone | 917-693-0762
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Fax |
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Provider Business Mailing Address
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Address Line | 209 CLINTON ST
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City | BROOKLYN
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State | NY
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Zip | 11201-6268
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Country | US
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Telephone | 917-693-0762
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MICHAEL C SMITH
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Credential | PH.D.
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Telephone | 917-693-0762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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