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General NPI Number Information
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NPI Number | 1245093061
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Entity Type | Organization
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Legal Business Name | STABLE FRIENDSHIPS FOUNDATION, INC
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 230 GUARD HILL RD
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City | MOUNT KISCO
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State | NY
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Zip | 10549-4943
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Country | US
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Telephone | 914-420-3802
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Fax |
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Provider Business Mailing Address
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Address Line | 40 VILLAGE GRN UNIT 14
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City | BEDFORD
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State | NY
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Zip | 10506-7001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | LYDIA STERNFELD
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Credential | OTR
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Telephone | 914-420-3802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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