Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174V00000X | Clinical Ethicist | ||
Y | 174V00000X | Clinical Ethicist | NY |
NPI | 1255799748 |
---|---|
Provider Name | Mrs. Stefana Yolanda Mccray |
First Address | Elmont, NY 11003-2409 |
Second Address | Elmont, NY 11003-2409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2016 |
Last Update Date | 29/01/2016 |