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General NPI Number Information
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NPI Number | 1760084933
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Entity Type | Organization
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Legal Business Name | LEMONIK PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 11/12/2020
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 351 MANVILLE RD STE 104
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City | PLEASANTVILLE
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State | NY
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Zip | 10570-2166
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Country | US
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Telephone | 914-488-4343
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Fax |
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Provider Business Mailing Address
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Address Line | 38 LOCUST RD
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City | BRIARCLIFF MANOR
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State | NY
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Zip | 10510-1223
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Country | US
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Telephone | 914-924-4344
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | DR. RACHEL LEMONIK
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Credential | PSY.D.
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Telephone | 914-488-4343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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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 | 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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