Healthcare Provider Details

I. General information

NPI: 1831027663
Provider Name (Legal Business Name): STEPHANIE CARPINIELLO ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 NORTH AVE
NEW ROCHELLE NY
10801-1830
US

IV. Provider business mailing address

1104 BRENTWOOD DR
TARRYTOWN NY
10591-5072
US

V. Phone/Fax

Practice location:
  • Phone: 914-633-2329
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number004166
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: