MEDICARE: ELISABETH STAMPFEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1124429980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELISABETH STAMPFEL

Provider Business Mailing Address
First Line	:	14 WAYNE DR
Second Line	:
City	:	MIDDLETOWN
State	:	NY
Zip	:	10940-6685
Country	:	US
Telephone Number	:	845-741-2144
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 WAYNE DR
Second Line	:
City	:	MIDDLETOWN
State	:	NY
Zip	:	10940-6685
Country	:	US
Telephone Number	:	845-741-2144
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2014
Last Update Date	:	09/09/2015

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Directions to “ ELISABETH STAMPFEL ” Practice Location

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