Individual provider · Type 1 NPI

Stephanie Ida

Specialist · Patchogue, NY

NPI number 1861190209 Active

Practice location

20 Bailey Ave
Patchogue, NY 11772-3902

Call (631) 790-4301 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X447004921 (NY)
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 1861190209

Stephanie Ida's National Provider Identifier is 1861190209, issued on Feb 15, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Patchogue, NY. The record was last updated on Feb 15, 2023.