Most Relevant Information
Provider Data
| NPI Number: | 1003694324 |
| Provider Name: | STEPHANIE MARIE MALDONADO |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 013874 |
Most Important Dates
| Enumeration Date: | 09/18/2023 |
| Last Updated: | 09/19/2023 |
Provider Practice Location
177 E 122ND ST
NEW YORK
NY
100352906
Practice Location Phone/Fax
| Phone: | 2123607116 |
| Fax: |
Provider Mailing Location
1860 HUTCHINSON RIVER PKWY
BRONX
NY
104614131
Provider Mailing Phone/Fax
| Phone: | 6467242190 |
| Fax: |