Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephanie Ellen Timmes

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1285262659

Stephanie Ellen Timmes is a Student in an Organized Health Care Education/Training Program in Elmont, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
Specialties on file
2

Practice location Address checks out

110 Hunnewell Ave
Elmont, NY 11003-2710
Phone: (516) 775-7407
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 025942 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1285262659
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 31, 2020
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022
Mailing address110 Hunnewell Ave, Elmont, NY 11003-2710

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