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General NPI Number Information
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NPI Number | 1003940396
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Entity Type | Individual
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Provider Name | STEWART LIPNER PHD
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Gender | Male
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 333 GLEN HEAD RD STE 205
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City | GLEN HEAD
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State | NY
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Zip | 11545-1960
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Country | US
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Telephone | 516-647-3452
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Fax | 516-759-5077
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Provider Business Mailing Address
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Address Line | 333 GLEN HEAD RD STE 205
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City | GLEN HEAD
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State | NY
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Zip | 11545-1960
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Country | US
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Telephone | 516-647-3452
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Fax | 516-759-5077
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 8610
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License Number State | NY
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