Individual
STEPHANIE MARIE PREVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
90 S BEDFORD RD, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 242-2773
Mailing address
110 S BEDFORD RD, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 242-2773
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002300-1
NY
Other
Enumeration date
09/16/2010
Last updated
06/13/2016
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