1972889103 NPI number — MRS. ALICE MARGARET STOKES LCSW-R

Table of content: TALIA MINDY MURAM MD (NPI 1962549246)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972889103 NPI number — MRS. ALICE MARGARET STOKES LCSW-R

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STOKES
Provider First Name:
ALICE
Provider Middle Name:
MARGARET
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW-R
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
STOKES
Provider Other First Name:
PEGGY
Provider Other Middle Name:
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1972889103
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/02/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
520 ROUTE 22
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH SALEM
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10560
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-277-5533
Provider Business Mailing Address Fax Number:
914-277-7219

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
520 ROUTE 22
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH SALEM
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10560
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-277-5533
Provider Business Practice Location Address Fax Number:
914-277-7219
Provider Enumeration Date:
11/02/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  R015969-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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