Individual
MRS. STEPHANIE Z. TARGONSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6987
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431142
NY
Other
Enumeration date
07/14/2017
Last updated
01/17/2025
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