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General NPI Number Information
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NPI Number | 1992185839
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Entity Type | Organization
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Legal Business Name | ELIZABETH ENGELMAN PHD PSYCHOLOGIST PC
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Dates
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Enumeration Date | 06/05/2015
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Last Update Date | 06/05/2015
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Provider Practice Location Address
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Address Line | 43 BOGART AVE
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-4032
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Country | US
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Telephone | 516-521-4699
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Fax |
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Provider Business Mailing Address
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Address Line | 436 WILLIS AVE
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City | WILLISTON PARK
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State | NY
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Zip | 11596-2298
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHD
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Name | ELIZABETH ENGELMAN
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Credential |
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Telephone | 516-521-4699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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