Individual
STEPHANIE CONDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPS, ATR-BC, LCAT
Contact information
Practice address
53 W 72ND ST APT 6F, NEW YORK, NY 10023-3497
(631) 807-5469
Mailing address
53 W 72ND ST APT 6F, NEW YORK, NY 10023-3497
(631) 807-5469
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
001989-1
NY
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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