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Individual

DR. STEPHANIE LAUREN CODOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
157 E 86TH ST FL 5, NEW YORK, NY 10028-2113
(908) 723-0425
Mailing address
225 E 85TH ST APT 707, NEW YORK, NY 10028-3082
(908) 723-0425

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
022922-1
NY

Other

Enumeration date
10/30/2018
Last updated
10/30/2018
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