Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 001855 | CT |
NPI | 1053601187 |
---|---|
Provider Name | Dr. Stephanie Ellen Schiff |
First Address | Newtown, CT 06470-1816 |
Second Address | Sandy Hook, CT 06482-1193 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2011 |
Last Update Date | 11/04/2011 |