Individual
MS. STEPHANIE G. MAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
8615 AVA PL, 1H, JAMAICA, NY 11432-2900
(917) 941-7656
Mailing address
8615 AVA PL, 1H, JAMAICA, NY 11432-2900
(917) 941-7656
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
018745
NY
Other
Enumeration date
03/30/2014
Last updated
03/30/2014
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