Most Relevant Information
Provider Data
| NPI Number: | 1003569005 |
| Provider Name: | STEPHANIE MARIE DIONNE FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 310489 |
Most Important Dates
| Enumeration Date: | 01/31/2022 |
| Last Updated: | 10/04/2023 |
Provider Practice Location
130 NORTH ST
WALTON
NY
138561218
Practice Location Phone/Fax
| Phone: | 6078656541 |
| Fax: |
Provider Mailing Location
SUNY BINGHAMTON UNIVERSITY
4400 VESTAL PARKWAY EAST
BINGHAMTON
NY
13902
Provider Mailing Phone/Fax
| Phone: | 6077772000 |
| Fax: |