| Doctor Name: | STEPHANIE REDLECKI |
| NPI Number: | 1437140423 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A |
| License Number: | 008740 |
| Business Practice Address: | 95 E Chautauqua St Mayville, NY - 147570168 |
| Business Phone Number: | 7167537107 |
| Business Fax Number: | 7167535367 |
| Mailing Address: | 95 E Chautauqua St, Po Box 168 MAYVILLE |
| State: | NY |
| Postal Code: | 147570168 |
| Phone Number: | 7167537107 |
| Fax Number: | 7167535367 |
| NPI Enumeration Date: | 10/31/2005 |
| NPI Last Update Date: | 02/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 008740 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |