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General NPI Number Information
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NPI Number | 1336263938
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Entity Type | Individual
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Provider Name | STEPHEN GARY SCHNEIDER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 850 7TH AVE STE 706
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City | NEW YORK
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State | NY
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Zip | 10019-5438
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Country | US
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Telephone | 212-262-2850
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Fax | 212-262-2858
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Provider Business Mailing Address
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Address Line | 62 W 87TH ST APT GR
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City | NEW YORK
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State | NY
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Zip | 10024-3570
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Country | US
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Telephone | 212-262-2850
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Fax | 212-262-2858
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 017947-1
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License Number State | NY
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