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Contact Information

SONIA P AZEVEDO, PhD
200 EMORY RD
MINEOLA, NY11501-2363
 Phone: 516-237-2549
 Fax: 516-237-2508
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Local Education Agency (LEA)

251300000X
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for

NPI Number 1245515402
Entity Organization
Organization subpart 1 Not specified
Enumeration date 10/19/2011
Last updated 10/19/2011 - About 15 years ago
Identifiers
NY License # 014982-1
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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