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General NPI Number Information
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NPI Number | 1295565273
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Entity Type | Organization
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Legal Business Name | SILVER LINING PSYCHOLOGY NY PLLC
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Dates
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Enumeration Date | 08/05/2024
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 6 BERNARD ST
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-2902
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Country | US
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Telephone | 516-944-5856
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Fax |
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Provider Business Mailing Address
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Address Line | 7 LINDEN LN
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City | OLD WESTBURY
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State | NY
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Zip | 11568-1609
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Country | US
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Telephone | 516-944-5856
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN S BARTELL
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Credential | PSY. D
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Telephone | 516-944-5856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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