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General NPI Number Information
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NPI Number | 1609680404
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Entity Type | Organization
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Legal Business Name | STABLE FRIENDSHIPS PHYSICAL THERAPY, OCCUPATIONAL THERAPY & SPEECH LANGUAGE THERAPY SERVICES, PLLC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 21 WACCABUC RIVER LN
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City | SOUTH SALEM
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State | NY
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Zip | 10590-1117
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Country | US
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Telephone | 914-357-7688
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 14
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City | BEDFORD
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State | NY
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Zip | 10506-0014
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Country | US
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Telephone | 914-357-7688
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | JESSICA FALCO
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Credential | M.S., CCC-SLP
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Telephone | 914-357-7689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #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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