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Contact Information

STACEY NATHAN VIRGA, PhD
153 MAIN STREET
SUITE C
MOUNT KISCO, NY10549
 Phone: 914-242-8870
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for STACEY NATHAN VIRGA · (Female)

NPI Number 1033887716
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/30/2021
Last updated 08/30/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 012204-01
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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