Stephanie Ida
Stephanie Ida is a Specialist in Patchogue, New York. Licensed in New York. Registered with an NPI since 2023.
- Licensed in
- NY
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
20 Bailey AvePatchogue, NY 11772-3902
Phone: (631) 790-4301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|---|
| Specialist | Taxonomy 174400000X · Licence 447004921 (NY) |
Record details
| NPI number | 1861190209 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 15, 2023 |
| Last updated in NPPES | February 15, 2023 |
| Certification date | February 15, 2023 |
| Mailing address | 20 Bailey Ave, Patchogue, NY 11772-3902 |
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