Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Stephanie Ellaine Vicencio Mazo, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619662400

Dr. Stephanie Ellaine Vicencio Mazo, MD is a Student in an Organized Health Care Education/Training Program in Middletown, New York. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Middletown, NY

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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1619662400
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 7, 2023
Last updated in NPPESApril 7, 2023
Certification dateApril 7, 2023

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