Stephanie Berardo, MSED
Individual provider Active NPI Specialist · Mahopac, NY
NPI 1619330271 · NPPES record last updated Mar 31, 2016
Key facts
- NPI
- 1619330271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 62 E Lovell St
Mahopac, NY 10541-3925 - Phone
- (845) 621-0216
- NPI assigned
- Mar 31, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
62 E Lovell St
Mahopac, NY 10541-3925
Mailing address
62 E Lovell St
Mahopac, NY 10541-3925
Phone (845) 621-0216
Other providers in Mahopac, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.