Theodora Stolz Clinic in S I - Clinical

Theodora Stolz Clinic - NPI 1912081787

Theodora Stolz Clinic is a Clinical in S I, New York. Theodora Stolz Clinic practices all healthcare services and medical treatments related to Clinical. The NPI Number for Theodora Stolz Clinic is 1912081787. The last update date is 2020-08-22.

Theodora Stolz Clinic's current location address is 68 Guyon Ave, S I, New York. You can contact this provider via phone number 7189803780 and fax number 7189876113. The mailing address for Theodora Stolz Clinic is 68 Guyon Ave, S I, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Theodora Stolz Clinic
Address 68 Guyon Ave, S I, New York
Phone Number 7189803780
Fax Number 7189876113
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Stolz Theodora
Telephone Number 7189803780

NPI Number Detail

NPI Number 1912081787
Provider Enumeration Date 2006-10-25
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 68 Guyon Ave
City S I
State New York (NY)
Post Code 10306
Phone Number 7189803780
Fax Number 7189876113

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 3222
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1627747 NY --
28533 NJ --

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FAQs about Theodora Stolz Clinic

What is the Theodora Stolz Clinic's 1912081787?

The Theodora Stolz Clinic's NPI (National Provider Identifier) Number is 1912081787. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Theodora Stolz Clinic?

The Theodora Stolz Clinic is physically situated at 68 Guyon Ave, in the city of S I, state of NY, with the postal code 10306.

What is Theodora Stolz Clinic's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Theodora Stolz Clinic is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.

On what date was the 1912081787 assigned to Theodora Stolz Clinic?

The Theodora Stolz Clinic was issued its 1912081787 on 2006-10-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Theodora Stolz Clinic last refreshed?

The information related to the Theodora Stolz Clinic, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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