Organization
LIDIA KUPIEC LMSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LIDIA KUPIEC LMSW (CLINICIAN)
(914) 574-5075
Entity
Organization
Contact information
Practice address
178 BRADLEY RD, SCARSDALE, NY 10583-6343
(914) 574-5075
Mailing address
178 BRADLEY RD, SCARSDALE, NY 10583-6343
(914) 574-5075
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
078510-1
NY
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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