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Stephanie Marie Knauf

Specialist in Ronkonkoma, NY. Individual provider (NPI-1).

NPI number1396009239
StatusActive
Last updated in NPPESJun 26, 2012

Details

NPI
1396009239
Entity type
Individual (NPI-1)
Name
Stephanie Marie Knauf
Sex
Female
Sole proprietor
No
Enumeration date
Jun 26, 2012
Last updated
Jun 26, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist840368NYYes

Practice location

90 Air Park Dr
Ronkonkoma, NY 11779

Phone 631-580-4001

Mailing address

142 11th Avenue
Huntington Station, NY 11746

Phone 631-521-1269

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