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General NPI Number Information
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NPI Number | 1629962675
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Entity Type | Organization
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Legal Business Name | SOFER PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 420 LEXINGTON AVE RM 300
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City | NEW YORK
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State | NY
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Zip | 10170-0399
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Country | US
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Telephone | 917-473-8075
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Fax |
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Provider Business Mailing Address
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Address Line | 1623 3RD AVE APT 35F
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City | NEW YORK
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State | NY
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Zip | 10128-3645
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Country | US
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Telephone | 917-734-0386
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Fax |
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Authorized Official
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Title or Position | FOUNDER/PSYCHOLOGIST
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Name | DR. ORLY SOFER
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Credential | PSY.D.
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Telephone | 917-473-8075
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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 |
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License Number State |
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