STEFANIE AMMIANO


Address: 31 Washington Sq W, Floor 4, New York, NY 10011-9126
Phone: 9085789751

STEFANIE AMMIANO (NPI# 1538451844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538451844
Entity Type Individual
Full Name STEFANIE AMMIANO
Credential RN, LMHC, CASAC
Practice Address 31 Washington Sq W
Floor 4
New York
NY 10011-9126
Mailing Address 165 W Roselle Ave
Roselle Park
NJ 07204-1210
Practice Telephone 9085789751
Enumeration Date 2011-05-04
Last Update Date 2017-06-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
27318 NY Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
005140 NY Behavioral Health & Social Service Providers
N 163W00000X Registered Nurse 704575 NY Nursing Service Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
F308102 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 31 WASHINGTON SQ W
FLOOR 4
City NEW YORK
State NY
Zip Code 10011-9126

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1265989628 Charles Schaeffer Psychologist 31 Washington Sq W, Suite 5r, New York, NY 10011-9126 2016-09-02
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1659627206 Surbaugh Psychological Services LLC Psychologist 31 Washington Sq W, Suite 5r, New York, NY 10011-9126 2012-08-01
1588971238 David Zimmerman, Md, PC Clinic/Center 31 Washington Sq W, New York, NY 10011-9126 2010-09-01
1922234806 Brian Albert Lathrop Psychoanalyst 31 Washington Sq W, Suite 6 C, New York, NY 10011-9126 2009-06-04
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10011

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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