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General NPI Number Information
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NPI Number | 1992575658
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH COUNSELING SERVICES OF NEW YORK PLLC
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Dates
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Enumeration Date | 01/04/2024
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 260 MADISON AVE FL 8
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City | NEW YORK
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State | NY
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Zip | 10016-2418
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Country | US
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Telephone | 212-470-7264
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Fax |
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Provider Business Mailing Address
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Address Line | 260 MADISON AVE FL 8
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City | NEW YORK
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State | NY
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Zip | 10016-2418
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Country | US
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Telephone | 212-470-7264
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | DR. MICHELLE PEREPICZKA
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Credential | PHD
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Telephone | 212-470-7264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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