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General NPI Number Information
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NPI Number | 1790629681
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Entity Type | Organization
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Legal Business Name | NORTHERN WESTCHESTER PSYCHOANALYSIS MARRIAGE AND FAMILY THERAPY
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 122 SMITH RIDGE RD
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City | SOUTH SALEM
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State | NY
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Zip | 10590-1921
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Country | US
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Telephone | 646-469-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 122 SMITH RIDGE RD
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City | SOUTH SALEM
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State | NY
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Zip | 10590-1921
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Country | US
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Telephone | 646-469-5000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ANDI LYN KORNFELD
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Credential | LMFT
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Telephone | 646-469-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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