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1160 Fifth Avenue Suite 3 New York NY 10029 | |
| (917) 710-8388 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1160 Fifth Avenue, New York, New York |
| Authorized Official Name and Position | Janet M Duffy (OWNER) |
| Authorized Official Contact | 9177108388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1160 Fifth Avenue, Suite 3 Box 112 New York NY 10029 Ph: (917) 710-8388 | 1160 Fifth Avenue Suite 3 New York NY 10029 Ph: (917) 710-8388 |
| NPI Number | 1104569607 |
|---|---|
| Provider Enumeration Date | 04/14/2022 |
| Last Update Date | 06/22/2022 |
| Certification Date | 06/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104569607 | NPI | - | NPPES |
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