Individual
DR. STEPHANIE WIDMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
16625 POWELLS COVE BLVD, 19D, WHITESTONE, NY 11357-1545
(914) 473-2623
Mailing address
16625 POWELLS COVE BLVD, 19D, WHITESTONE, NY 11357-1545
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
300845
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2016
Last updated
01/24/2021
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