Healthcare Provider Details

I. General information

NPI: 1467316075
Provider Name (Legal Business Name): STEPHANIE ROCKWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 DARRENS WAY
ALBANY NY
12205-2115
US

IV. Provider business mailing address

3 DARRENS WAY
ALBANY NY
12205-2115
US

V. Phone/Fax

Practice location:
  • Phone: 518-577-2243
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number733803
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: