Most Relevant Information
Provider Data
| NPI Number: | 1003246679 |
| Provider Name: | STEPHANIE DALEY |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 037140 |
Most Important Dates
| Enumeration Date: | 11/19/2013 |
| Last Updated: | 06/11/2019 |
Provider Practice Location
12845 BROADWAY ST STE 2
ALDEN
NY
140041223
Practice Location Phone/Fax
| Phone: | 7169025068 |
| Fax: |
Provider Mailing Location
12845 BROADWAY ST STE 2
ALDEN
NY
140041223
Provider Mailing Phone/Fax
| Phone: | 1716902506 |
| Fax: |