Individual
MRS. MARY THERESE STUMPEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
142 OLDFIELD AVE, AMITYVILLE, NY 11701-3128
(631) 598-0299
Mailing address
142 OLDFIELD AVE, AMITYVILLE, NY 11701-3128
(631) 598-0299
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
376948-1
NY
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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