Individual
STELLA VANEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
735 MIDDLE COUNTRY RD, SAINT JAMES, NY 11780-3211
(631) 656-9200
Mailing address
1545 HECKSCHER AVE, BAY SHORE, NY 11706-2408
(631) 524-1101
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017340
NY
Other
Enumeration date
01/29/2014
Last updated
10/27/2016
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