Individual
STEPHANIE MUNDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
450 W 17TH ST APT 523, NEW YORK, NY 10011-5846
(516) 661-8152
Mailing address
450 W 17TH ST APT 523, NEW YORK, NY 10011-5846
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
766361
NY
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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