MRS. Stephanie Eileen St. Nicholas

NPI #1922980655 in Bohemia, New York

Provider Information

NPI Number: 1922980655
Entity Type: Individual
Name: MRS. Stephanie Eileen St. Nicholas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jul 23, 2025
Last Updated: Jul 23, 2025

Practice Location

Address: 545 SMITHTOWN AVE
City: Bohemia
State: New York
ZIP Code: 11716-4915
Phone: (631) 291-7276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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