SearchNew Jersey164W00000X

Stephanie Jean

NPI 1386998250 · on the registry since 2012 · sole proprietor

Practice

Address
64 Union Ave Apt 501
Irvington, NJ 07111
Phone
(347) 317-9686

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-10-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey