Individual
MRS. STEPHANIE EBERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CCM
Contact information
Practice address
137 KEEVER AVE, LACKAWANNA, NY 14218-3553
(716) 803-5693
Mailing address
137 KEEVER AVE, LACKAWANNA, NY 14218-3553
(716) 803-5693
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
642610-01
NY
163WC0400X
Case Management Registered Nurse
Primary
6426410-01
NY
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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