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General NPI Number Information
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NPI Number | 1760151476
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Entity Type | Organization
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Legal Business Name | STEPHEN G. SCHNEIDER, PHD
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 1430 BROADWAY RM 1510
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City | NEW YORK
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State | NY
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Zip | 10018-3368
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Country | US
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Telephone | 212-262-2850
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Fax | 212-262-2858
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Provider Business Mailing Address
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Address Line | 1430 BROADWAY RM 1510
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City | NEW YORK
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State | NY
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Zip | 10018-3368
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Country | US
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Telephone | 212-262-2850
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Fax | 212-262-2858
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Authorized Official
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Title or Position | CLINICAL DIREOCTOR
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Name | DR. STEPHEN GARY SCHNEIDER
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Credential | PH.D.
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Telephone | 212-252-2850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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