Individual
STEPHANIE FAMULARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
1478 VICTORY BLVD, STATEN ISLAND, NY 10301-3915
(718) 737-8228
Mailing address
115 TILLMAN ST, STATEN ISLAND, NY 10314-5646
(718) 698-2814
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006440
NY
Other
Enumeration date
12/20/2009
Last updated
10/27/2012
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