Doctor Name: | STEPHANIE MELISSA CHAMBERS |
NPI Number: | 1437467743 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P |
License Number: | F336252 |
Business Practice Address: | 225 Veterans Road Mount Kisco Medical Group Pc Yorktown Hts, NY - 10598 |
Business Phone Number: | 9143028060 |
Business Fax Number: | 9144552980 |
Mailing Address: | 110 S. Bedford Road, Mount Kisco Medical Group Pc MOUNT KISCO |
State: | NY |
Postal Code: | 10549 |
Phone Number: | 9142411050 |
Fax Number: | 9142421516 |
NPI Enumeration Date: | 09/21/2010 |
NPI Last Update Date: | 02/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F336252 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |