Individual
STEPHANIE Y NAUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
185 CEDRUS AVE, EAST NORTHPORT, NY 11731-4414
(631) 972-7410
Mailing address
185 CEDRUS AVE, EAST NORTHPORT, NY 11731-4414
(631) 972-7410
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
026087-01
NY
Other
Enumeration date
04/06/2020
Last updated
07/28/2021
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