Individual
MISS STEFANIE RIPPENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
580 BROADWAY, SUITE 608, NEW YORK, NY 10012-3223
(646) 918-1371
Mailing address
83 HUMBOLDT ST APT 2B, BROOKLYN, NY 11206-3601
(267) 688-7794
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
721600-1
NY
363L00000X
Nurse Practitioner
Primary
309859
NY
Other
Enumeration date
10/03/2016
Last updated
12/14/2020
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