Healthcare Provider Details

I. General information

NPI: 1578097077
Provider Name (Legal Business Name): STEPHANIE SERWAAH PRICE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE SERWAAH KWAKYE DO

II. Dates (important events)

Enumeration Date: 04/12/2017
Last Update Date: 04/13/2025
Certification Date: 04/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15000 WESTON PKWY
CARY NC
27513-2118
US

IV. Provider business mailing address

109 W 27TH ST SUITE 5S
NEW YORK NY
10001-6208
US

V. Phone/Fax

Practice location:
  • Phone: 833-351-8255
  • Fax:
Mailing address:
  • Phone: 833-351-8255
  • Fax: 888-815-3583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number319785
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number007994
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number83706
License Number StateSC
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2022-03070
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: