Healthcare Provider Details

I. General information

NPI: 1396670964
Provider Name (Legal Business Name): HANNAH STONE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 3RD ST
ITHACA NY
14850-3484
US

IV. Provider business mailing address

4582 STATE ROUTE 14
ROCK STREAM NY
14878-9607
US

V. Phone/Fax

Practice location:
  • Phone: 607-602-2083
  • Fax:
Mailing address:
  • Phone: 607-425-8446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number360235
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: