Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 257202 | NY |
NPI | 1003019613 |
---|---|
Provider Name | Delia Mihaela Stefan |
First Address | Philadelphia, PA 19170-0001 |
Second Address | Fishkill, NY 12524-2281 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2007 |
Last Update Date | 16/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03292248 | (05) | NY |