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General NPI Number Information
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NPI Number | 1770438707
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Entity Type | Organization
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Legal Business Name | LAURA B. KESTEMBERG, PH.D., LICENSED PSYCHOLOGIST, PLLC
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 30 HEMPSTEAD AVE STE 143
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4034
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Country | US
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Telephone | 929-600-2975
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Fax |
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Provider Business Mailing Address
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Address Line | 30 HEMPSTEAD AVE STE 143
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4034
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Country | US
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Telephone | 929-600-2975
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | LAURA B KESTEMBERG
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Credential | PH.D.
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Telephone | 917-439-8730
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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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