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1144326588
STEPHEN BACON
BRONX, NY
NPI
1144326588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 006542-1)
Enumeration Date
2006-09-15
Last Update Date
2007-07-08
Business Address
Dr. STEPHEN BACON Ph.D.
130 W KINGSBRIDGE RD
BRONX, NY 10468-3904
Phone number: 718-584-9000
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Mailing Address
Dr. STEPHEN BACON Ph.D.
130 W KINGSBRIDGE RD
BRONX, NY 10468-3904
Phone number: 718-584-9000
Copy
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