Stephanie Ida is a Specialist based in Patchogue, NY. Stephanie Ida practices in Patchogue, NY. The NPI Number for Stephanie Ida is 1861190209 and holds a License No. 447004921 (New York).
The current practice location address for Stephanie Ida is 20 Bailey Ave, Patchogue, NY and can be reached out via phone at 631-790-4301.
Location: 20 Bailey Ave, Patchogue, NY, 11772-3902
Provider Profile Details
NPI Number
1861190209
Provider Name
Stephanie Ida
Credential
Provider Entity Type
Individual
Gender
Female
Address
20 Bailey Ave, Patchogue, NY, 11772-3902
Phone Number
631-790-4301
Fax Number
Provider Enumeration Date
02/15/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
20 Bailey Ave
City
State
Zip
11772-3902
Phone Number
631-790-4301
Fax Number
Provider Business Mailing Address Details
Address
20 Bailey Ave
City
State
Zip
11772-3902
Phone Number
631-790-4301
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
447004921 (New York)
Definition
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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