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NPI 1619836533

NPI 1619836533 : STACEY SCHWARTZ PSY.D. : MELVILLE, NY

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General NPI Number Information
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    NPI Number           |    1619836533
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    Entity Type          |    Individual 
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    Provider Name        |    STACEY SCHWARTZ PSY.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/16/2026
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    Last Update Date     |    01/16/2026
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Provider Practice Location Address
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    Address Line         |    150 BROADHOLLOW RD STE 314 
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    City                 |    MELVILLE
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    State                |    NY
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    Zip                  |    11747-4901
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    Country              |    US
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    Telephone            |    516-262-3533
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    17 MELANIE LN 
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    City                 |    SYOSSET
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    State                |    NY
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    Zip                  |    11791-5831
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    013404
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    License Number State |    NY
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