Individual
STEPHANIE BOLOGNESE
Active
Individual
STEPHANIE BOLOGNESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
542792-1
NY
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
542792-1
NY
163WC0400X
Case Management Registered Nurse
542792-1
NY
163WG0000X
General Practice Registered Nurse
Primary
542792-1
NY
163WG0600X
Gerontology Registered Nurse
542792-1
NY
163WH0200X
Home Health Registered Nurse
542792-1
NY
163WH1000X
Hospice Registered Nurse
542792-1
NY
163WP0200X
Pediatric Registered Nurse
542792-1
NY
163WR0400X
Rehabilitation Registered Nurse
542792-1
NY
163WS0200X
School Registered Nurse
542792-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01681263
MEDICAID PRIVATE PROVIDER
NY
Enumeration date
06/15/2007
Last updated
03/21/2024
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