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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY CAPONE (CEO)
(516) 206-0694
Entity
Organization

Contact information

Practice address
303 5TH AVE STE 1002, NEW YORK, NY 10016-6601
(516) 206-0694
Mailing address
303 5TH AVE STE 1002, NEW YORK, NY 10016-6601
(516) 206-0694

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
01/03/2024
Last updated
01/03/2024
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