Guevara, Stephanie

Guevara, Stephanie is an individual health care provider with primary practice located at 1444 5Th Ave , Bay Shore NY 11706-4147. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Guevara, Stephanie can be contacted via phone (631) 647-3100.

Contact Information

Primary practice address
1444 5Th Ave Bay Shore NY 11706-4147
Phone: (631) 647-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1417588906
LBN Legal business name Guevara, Stephanie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2020
Last updated Feb 3rd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417588906 NPPES
New York Other FSL NA

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