Healthcare Provider Details

I. General information

NPI: 1003019613
Provider Name (Legal Business Name): DELIA MIHAELA STEFAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2007
Last Update Date: 01/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 WESTAGE BUSINESS CTR DR
FISHKILL NY
12524-2281
US

IV. Provider business mailing address

PO BOX 7247-6822
PHILADELPHIA PA
19170-0001
US

V. Phone/Fax

Practice location:
  • Phone: 845-231-5600
  • Fax: 845-231-5489
Mailing address:
  • Phone: 914-241-1050
  • Fax: 914-242-1516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number257202
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: