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General NPI Number Information
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NPI Number | 1598587685
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Entity Type | Organization
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Legal Business Name | STACY POPKIN-ZANG, PSYD, PLLC
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 70 GLEN COVE RD STE 201
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-1730
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Country | US
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Telephone | 631-626-5186
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Fax |
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Provider Business Mailing Address
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Address Line | 70 GLEN COVE RD STE 201
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-1730
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Country | US
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Telephone | 631-626-5186
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STACY POPKIN-ZANG
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Credential | PSYD
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Telephone | 631-626-5186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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