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General NPI Number Information
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NPI Number | 1780244426
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Entity Type | Individual
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Provider Name | NIKIMYA YOLONDA LIGON MAT, MS.ED, PSY.D
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Gender | Female
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Dates
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Enumeration Date | 06/14/2019
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Last Update Date | 06/14/2019
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Provider Practice Location Address
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Address Line | 73 MARKET ST STE 376
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City | YONKERS
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State | NY
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Zip | 10710-7619
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Country | US
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Telephone | 914-368-7812
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Fax |
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Provider Business Mailing Address
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Address Line | 28 EVARTS AVE
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City | WHITE PLAINS
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State | NY
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Zip | 10607-1012
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Country | US
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Telephone | 914-645-2243
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 019219-1
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License Number State | NY
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