Stephanie Ida
Specialist · Patchogue, NY
Practice location
20 Bailey AvePatchogue, NY 11772-3902
- Phone
- (631) 790-4301
NPI record
- NPI
- 1861190209
- Entity type
- Individual (Type 1)
- Enumeration date
- February 15, 2023
- Last updated
- February 15, 2023
- Certified
- February 15, 2023
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X |
— | — |
| Specialist | 174400000X |
447004921 | NY |
About Stephanie Ida
Stephanie Ida is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 20 Bailey Ave, Patchogue, NY 11772-3902. The NPI number 1861190209 was assigned on February 15, 2023 and the record was last updated on February 15, 2023.
Stephanie Ida lists a license in the registry: #447004921 (NY) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Stephanie Ida?
The NPI number is 1861190209.
What is the phone number of Stephanie Ida?
The phone number listed for the practice location is (631) 790-4301.
Where is Stephanie Ida located?
20 Bailey Ave, Patchogue, NY 11772-3902.
What is the taxonomy code for Stephanie Ida?
The primary taxonomy code is 174400000X – Specialist; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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