Stephanie Bolognese in Stony Brook - Pediatrics
Stephanie Bolognese - NPI 1730384215
Stephanie Bolognese is a Pediatrics in Stony Brook, New York. Stephanie Bolognese practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stephanie Bolognese is 1730384215. The last update date is 2007-07-08.
Stephanie Bolognese's current location address is 1 Hopewell Dr, Stony Brook, New York. You can contact this provider via phone number 6316890234 and fax number 6316750262. The mailing address for Stephanie Bolognese is 1 Hopewell Dr, Stony Brook, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stephanie Bolognese |
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Address | 1 Hopewell Dr, Stony Brook, New York |
Phone Number | 6316890234 |
Fax Number | 6316750262 |
Sole Proprietor | N |
Credentials | RN |
NPI Number Detail
NPI Number | 1730384215 |
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Provider Enumeration Date | 2007-06-15 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1 Hopewell Dr |
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City | Stony Brook |
State | New York (NY) |
Post Code | 117902323 |
Phone Number | 6316890234 |
Fax Number | 6316750262 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 163Wp0200X |
Licence No | 542792-1 |
Definition: A registered nurse who cares for infant, child, and adolescent patients. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1681263 | NY | MEDICAID PRIVATE PROVIDER |
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What is the unique 10-digit identifier code issued to Stephanie Bolognese by the Centers for Medicare & Medicaid Services?
The Stephanie Bolognese has been assigned the NPI (National Provider Identifier) 1730384215 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Stephanie Bolognese?
The Stephanie Bolognese is situated at 1 Hopewell Dr, in the city of Stony Brook, state of NY, with the zip code 117902323.
What is Stephanie Bolognese's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stephanie Bolognese's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 163Wp0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1730384215 to Stephanie Bolognese?
The Stephanie Bolognese received its 1730384215 assignment from the Centers for Medicare & Medicaid Services on 2007-06-15.
As of what date was the information pertaining to Stephanie Bolognese, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Stephanie Bolognese, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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