Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE IDA
ActiveSTEPHANIE IDA is a Specialist healthcare provider located in PATCHOGUE, New York. NPI 1861190209 is currently active in the NPPES registry. Verify at CMS.
Specialist · PATCHOGUE, NY
Registration Details
- NPI Number
- 1861190209
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 15, 2023 (3.482463712358 yrs)
- Last Updated
- Feb 15, 2023
- License
-
447004921 (NY)
Practice Information
- Address
-
20 BAILEY AVEPATCHOGUE, NY, 117723902Browse NY providers · Browse ZIP 11772
- Phone
- 6317904301
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Specialist
Other Specialist Providers in PATCHOGUE, NY
| Name | Credential | NPI |
|---|---|---|
| MS. SANDRA A DACUNHA | LCSW | 1336182682 |
| MR. PETER R PICATAGGIO | L.M.T | 1902061245 |
| LISA ANDREE | MS, ED | 1417101320 |
| MS. JEAN MARGARET MACDONALD | BEHAVIOR ANALYST | 1528203940 |
| TAMMY ANN DIAZ | — | 1992947469 |
| ELIZABETH EFIMETZ | — | 1063646958 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.