Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003361312 |
---|---|
Provider Name | Miss Brittany Maria Stabile |
First Address | West Harrison, NY 10604-2705 |
Second Address | West Harrison, NY 10604-2705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2016 |
Last Update Date | 17/08/2016 |