Individual
STEPHANIE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
560 W 168TH ST, NEW YORK, NY 10032-3917
(212) 305-4318
Mailing address
732 FREEDOM ST, BABYLON, NY 11702-1206
(516) 353-8559
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
586300
NY
Other
Enumeration date
07/08/2021
Last updated
10/31/2023
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