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General NPI Number Information
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NPI Number | 1437536851
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Entity Type | Organization
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Legal Business Name | DR. EMILY BLY PSYCHOLOGY SERVICES PC
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Dates
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Enumeration Date | 05/05/2015
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 400 KING ST STE 7
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City | CHAPPAQUA
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State | NY
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Zip | 10514-3500
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Country | US
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Telephone | 347-560-4628
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Fax |
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Provider Business Mailing Address
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Address Line | 400 KING ST STE 7
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City | CHAPPAQUA
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State | NY
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Zip | 10514-3500
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Country | US
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Telephone | 347-560-4628
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMILY BLY
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Credential |
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Telephone | 347-560-4628
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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 | 019170
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License Number State | NY
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