Provider Information for 1215089727
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Ms. CASSANDRA DUFF
Sex: Female
NPI: 1215089727
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1215089727 | ||||||||
| Enumeration Date | 2007-01-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 840 BURKE AVENUE APT 1 BRONX, NY 10467 United States Phone: 718-547-9536 | Fax:718-665-2456 | ||||||||
| Primary Practice Address | 401 E 147TH ST NEW BEGINNINGS COMMUNITY COUNSELING CENTER BRONX, NY 10455 United States Phone: 718-665-2456 | Fax:718-665-1174 | ||||||||
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