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1043741804
STEPHANIE MOURA
SUFFERN, NY
NPI
1043741804
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Former Name
STEPHANIE HERNANDEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NY 300146)
Enumeration Date
2017-03-23
Last Update Date
2021-07-27
Business Address
STEPHANIE MOURA M.D.
255 LAFAYETTE AVE
SUFFERN, NY 10901-4812
Phone number: 845-357-5775
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Mailing Address
STEPHANIE MOURA M.D.
100 ROUTE 59 STE 111
SUFFERN, NY 10901-5620
Phone number: 845-357-5775
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