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1154567774
ALBERT STEPHEN BANTA
NEW YORK, NY
NPI
1154567774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 017822-1)
Enumeration Date
2009-01-02
Last Update Date
2009-01-02
Business Address
Dr. ALBERT STEPHEN BANTA Ph.D.
150 W 82ND ST APT 1A
NEW YORK, NY 10024-7302
Phone number: 917-355-9231
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Mailing Address
Dr. ALBERT STEPHEN BANTA Ph.D.
150 W 82ND ST APT 1A
NEW YORK, NY 10024-7302
Phone number: 917-355-9231
Copy
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