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General NPI Number Information
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NPI Number | 1992344469
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Entity Type | Organization
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Legal Business Name | JOSEPH A LOGIUDICE & ASSOCIATES
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Dates
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Enumeration Date | 01/02/2020
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Last Update Date | 01/02/2020
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Provider Practice Location Address
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Address Line | 19 W 34TH ST PH
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City | NEW YORK
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State | NY
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Zip | 10001-3006
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Country | US
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Telephone | 917-558-4456
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Fax | 646-678-3710
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Provider Business Mailing Address
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Address Line | 19 W 34TH ST PH
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City | NEW YORK
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State | NY
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Zip | 10001-3006
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Country | US
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Telephone | 917-558-4456
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Fax | 646-678-3710
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Authorized Official
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Title or Position | FOUNDER/PSYCHOTHERAPIST
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Name | MR. JOSEPH ANTHONY LOGIUDICE
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Credential | LCSW
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Telephone | 917-558-4456
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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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