Stefanie Mary Iwanciw, PSYD

NPI #1003484635 in Glen Oaks, New York

Provider Information

NPI Number: 1003484635
Entity Type: Individual
Name: Stefanie Mary Iwanciw, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PSYD
Enumeration Date: Jun 10, 2021
Last Updated: Jul 14, 2021

Practice Location

Address: 7559 263RD ST
City: Glen Oaks
State: New York
ZIP Code: 11004-1150
Phone: (718) 470-8060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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