STEPHANIE YVETTE STORE

ROSEDALE, NY
NPI1700224367
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F336569-1)
Enumeration Date2013-06-05
Last Update Date2013-06-05
Business Address
-- STEPHANIE YVETTE STORE FNP
245-11 134 AVE
ROSEDALE, NY 11422
Phone number: 646-309-4034
Mailing Address
-- STEPHANIE YVETTE STORE FNP
24511 134TH AVE
ROSEDALE, NY 11422-1426
Phone number: 646-309-4034
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