Stephanie Yvette Store, FNP

NPI #1700224367 in Rosedale, New York

Provider Information

NPI Number
1700224367
Entity Type
Individual
Name
Stephanie Yvette Store, FNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
FNP
Enumeration Date
Jun 5, 2013
Last Updated
Jun 5, 2013

Practice Location

Address
245-11 134 AVE
ZIP Code
11422
Phone
(646) 309-4034

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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