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NPI Code Detail

MEDICARE: STEPHANIE EHL

MEDICARE: STEPHANIE EHL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistNY

General Provider Information

NPI Number : 1013664549
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE EHL
Provider Business Mailing Address
First Line : 1263 JONATHAN LN
Second Line :
City : WANTAGH
State : NY
Zip : 11793-2543
Country : US
Telephone Number : 516-633-8423
Fax Number :
Provider Business Practice Location Address
First Line : 99 CENTRAL AVE
Second Line :
City : AMITYVILLE
State : NY
Zip : 11701-3537
Country : US
Telephone Number : 516-633-8423
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2022
Last Update Date : 03/04/2022

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Directions to “ STEPHANIE EHL ” Practice Location

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