MEDICARE: DR. STEPHANIE MARIE ACHILLES MD

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
1	2084P0800X	Psychiatry Physician	288428	NY

General Provider Information

NPI Number	:	1598059131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE MARIE ACHILLES MD

Provider Business Mailing Address
First Line	:	601B W WASHINGTON ST
Second Line	:
City	:	GENEVA
State	:	NY
Zip	:	14456-2119
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	601B W WASHINGTON ST
Second Line	:
City	:	GENEVA
State	:	NY
Zip	:	14456-2119
Country	:	US
Telephone Number	:	315-781-8448
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2011
Last Update Date	:	06/10/2026

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