Doctor Name: | MS. STEFANIE ANN PALESADO |
NPI Number: | 1134356306 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | F4206011 |
Business Practice Address: | 972 Brush Hollow Rd Westbury, NY - 115901740 |
Business Phone Number: | 5168765555 |
Business Fax Number: | 5168761246 |
Mailing Address: | 972 Brush Hollow Rd, WESTBURY |
State: | NY |
Postal Code: | 115901740 |
Phone Number: | 5168765555 |
Fax Number: | 5168761246 |
NPI Enumeration Date: | 06/16/2009 |
NPI Last Update Date: | 06/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP1700X |
License Number: | F4206011 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Perinatal |
Taxonomy Definition: |