Individual
STEPHANIE TEACHOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
101 NICOLLS RD # HSC15053, STONY BROOK, NY 11794-3201
(631) 689-8333
Mailing address
101 NICOLLS RD # HSC15053, STONY BROOK, NY 11794-0001
(631) 689-8333
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
337865
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD210011570
DC
Other
Enumeration date
06/06/2019
Last updated
07/14/2025
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