Healthcare Provider Details

I. General information

NPI: 1851184766
Provider Name (Legal Business Name): STEPHANIE MUNOZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2025
Last Update Date: 05/23/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 SUMNER PL
BROOKLYN NY
11206-4110
US

IV. Provider business mailing address

8135 77TH AVE
GLENDALE NY
11385-7701
US

V. Phone/Fax

Practice location:
  • Phone: 718-336-9500
  • Fax:
Mailing address:
  • Phone: 518-506-1098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number762040
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number311878
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: