Healthcare Provider Details

I. General information

NPI: 1508093832
Provider Name (Legal Business Name): STEPHANIE NAGUIT DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2009
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4312 43RD ST
SUNNYSIDE NY
11104-2608
US

IV. Provider business mailing address

182 E MELROSE ST
VALLEY STREAM NY
11580-4635
US

V. Phone/Fax

Practice location:
  • Phone: 347-345-1508
  • Fax:
Mailing address:
  • Phone: 516-592-3251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number263807
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: