Individual
STEPHANIE L MAWHIRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
222 STATION PLZ N, SUITE 509, MINEOLA, NY 11501-3800
(516) 663-2381
(516) 663-8796
Mailing address
75 BURLEIGH DR, HOLBROOK, NY 11741-3005
(631) 790-3653
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
287891
NY
Other
Enumeration date
05/14/2013
Last updated
02/23/2021
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