Individual
STEPHANIE MOREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
755 MONTAUK HWY, OAKDALE, NY 11769-1801
(631) 602-0079
Mailing address
219 PEEKSKILL AVE, MEDFORD, NY 11763-3136
(631) 618-5870
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
127355-01
NY
Other
Enumeration date
09/13/2025
Last updated
09/13/2025
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