Individual provider · Type 1 NPI

Stephanie Wellbrock

Specialist · Medford, NY

NPI number 1336071125 Active

Practice location

1 Industrial Blvd
Medford, NY 11763-2220

Call (631) 297-3202 Map

Fax (631) 205-1763

Mailing address

111 Academy St
Bayport, NY 11705-1706

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1336071125

Stephanie Wellbrock's National Provider Identifier is 1336071125, issued on Jun 3, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Medford, NY. The record was last updated on Jun 3, 2026.