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Individual
DR. STEPHANIE A. YAMOUT
Active
Individual
DR. STEPHANIE A. YAMOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
259834
NY
208000000X
Pediatrics Physician
Primary
A121619
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259834
NEW YORK MEDICAL LICENSE
NY
01
—
A121619
CA MEDICAL BOARD
CA
Enumeration date
09/11/2009
Last updated
12/15/2021
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