Koutcher, Stephanie A

Koutcher, Stephanie A is an individual health care provider with primary practice located at 19 Greenridge Ave Andrus Children'S Center, White Plains NY 10605-1201. 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. Koutcher, Stephanie A can be contacted via phone (914) 949-6780.

Contact Information

Primary practice address
19 Greenridge Ave Andrus Children'S Center White Plains NY 10605-1201
Phone: (914) 949-6780
Fax: (914) 949-3525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 078977 New York

Profile Details

NPI number 1568517993
LBN Legal business name Koutcher, Stephanie A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Apr 17th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568517993 NPPES
New York MEDICAID 01420795

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