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NPI Code Detail

MEDICARE: STEPHANIE ROSEMARIE PITTARO

MEDICARE:   STEPHANIE ROSEMARIE PITTARO
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
1235Z00000XSpeech-Language Pathologist41YS00990300NJ

General Provider Information

NPI Number : 1518896331
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE ROSEMARIE PITTARO
Provider Business Mailing Address
First Line : 2911 SUMMIT AVE
Second Line :
City : UNION CITY
State : NJ
Zip : 07087-2362
Country : US
Telephone Number : 201-972-5739
Fax Number :
Provider Business Practice Location Address
First Line : 2911 SUMMIT AVE
Second Line :
City : UNION CITY
State : NJ
Zip : 07087-2362
Country : US
Telephone Number : 201-972-5739
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ STEPHANIE ROSEMARIE PITTARO ” Practice Location

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