| Doctor Name: | STEPHEN MESSANA |
| NPI Number: | 1023489457 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CNIM |
| License Number: | |
| Business Practice Address: | 399 Knollwood Rd. Suite 108 White Plains, NM - 10603 |
| Business Phone Number: | 9149498501 |
| Business Fax Number: | 9149498502 |
| Mailing Address: | 399 Knollwood Rd., Suite 108 WHITE PLAINS |
| State: | NM |
| Postal Code: | 10603 |
| Phone Number: | 9149498501 |
| Fax Number: | 9149498502 |
| NPI Enumeration Date: | 10/12/2015 |
| NPI Last Update Date: | 10/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246ZE0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | Electroneurodiagnostic |
| Taxonomy Definition: | |