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General NPI Number Information
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NPI Number | 1669133757
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Entity Type | Organization
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Legal Business Name | BEDFORD PSYCHOLOGICAL SERVICES P.C.
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Dates
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Enumeration Date | 01/01/2022
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Last Update Date | 01/01/2022
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Provider Practice Location Address
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Address Line | 11 N HOLLOW RD
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City | BREWSTER
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State | NY
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Zip | 10509-5120
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Country | US
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Telephone | 914-419-2678
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Fax | 845-207-3647
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Provider Business Mailing Address
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Address Line | 11 N HOLLOW RD
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City | BREWSTER
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State | NY
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Zip | 10509-5120
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Country | US
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Telephone | 914-419-2678
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Fax | 845-207-3647
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IRWIN LEIBOWITZ
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Credential | PH.D.
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Telephone | 914-419-2678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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