Gerena, Stephanie
Gerena, Stephanie is an sole proprietor health care provider with primary practice located at 1039 Black Oak Ridge Rd , Wayne NJ 07470-6340. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Gerena, Stephanie can be contacted via phone (973) 980-3442.Contact Information
Primary practice address
1039 Black Oak Ridge Rd
Wayne NJ 07470-6340
Phone: (973) 980-3442
Fax: (973) 835-4697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 46TR00218900 | New Jersey |
| Other Service Providers / Contractor | 171W00000X | 008610-1 | New York |
Profile Details
| NPI number | 1407158371 |
|---|---|
| LBN Legal business name | Gerena, Stephanie |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2010 |
| Last updated | Nov 29th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407158371 | NPPES |
| New York | Other | 008610-1 | OCCUPATIONAL THERAPY |
| New York | Other | 46TR00218900 | OCCUPATIONAL THERAPY |
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