Individual
MS. STEPHANIE ANN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
19108 120TH RD, SAINT ALBANS, NY 11412-3619
(718) 791-3753
Mailing address
25704 149TH AVE, ROSEDALE, NY 11422-3021
(718) 791-3753
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1278088
NY
252Y00000X
Early Intervention Provider Agency
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Other
Enumeration date
08/22/2014
Last updated
05/13/2025
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