| NPI | 1598587685 |
|---|---|
| Former Legal Business Name | STACY POPKIN-ZANG, PSYD, PLLC |
| Entity Type | Organization |
| Authorized Contact | STACY POPKIN-ZANG Owner 631-626-5186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2025-01-02 |