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NPI Code Detail

MEDICARE: STEPHANY STAROSELSKIY

MEDICARE: STEPHANY STAROSELSKIY
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
1363LF0000XFamily Nurse Practitioner822424NY

General Provider Information

NPI Number : 1942156310
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANY STAROSELSKIY
Provider Business Mailing Address
First Line : 231 BAY 35TH ST APT 2C
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-5472
Country : US
Telephone Number : 347-610-4272
Fax Number :
Provider Business Practice Location Address
First Line : 325 W 15TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10011-5903
Country : US
Telephone Number : 212-604-6059
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ STEPHANY STAROSELSKIY ” Practice Location

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