Healthcare Provider Details

I. General information

NPI: 1730360322
Provider Name (Legal Business Name): STEPHANIE ELAINE FROMMELT M.A., CCCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: STEPHANIE ELAINE ROBINSON MA,CCCA

II. Dates (important events)

Enumeration Date: 11/25/2007
Last Update Date: 07/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2017 WILLIAMSBRIDGE RD
BRONX NY
10461
US

IV. Provider business mailing address

43 PINESBRIDGE RD
YORKTOWN HEIGHTS NY
10598-4333
US

V. Phone/Fax

Practice location:
  • Phone: 718-678-8277
  • Fax: 718-678-8278
Mailing address:
  • Phone: 914-819-3898
  • Fax: 914-944-1557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number000970
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number14000012300
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: