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Individual
DR. STEFANO AMODIO
Active
Individual
DR. STEFANO AMODIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
203734
NY
208000000X
Pediatrics Physician
Primary
203734
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02281152
—
NY
Enumeration date
10/13/2006
Last updated
12/03/2012
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