Stefanie Mary Iwanciw
Psychologist Clinical Psychologist
7559 263rd St
Glen Oaks
, New York 11004-1150
Stefanie Mary Iwanciw
Psychologist Clinical Psychologist
7559 263rd St
Glen Oaks
, New York 11004-1150
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About
Features
Specialties
- Psychologist
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Stefanie Mary Iwanciw
- 7559 263rd St
- Glen Oaks, NY
- Zip : 11004-1150
- Phone :
Second Address
- Stefanie Mary Iwanciw
- 7559 263rd St
- Glen Oaks, NY
- Zip : 11004-1150
- Phone : (718) 470-8060
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Is Stefanie Mary Iwanciw a sole practitioner?
Is Stefanie Mary Iwanciw accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | ||
| N | 103T00000X | Psychologist | ||
| Y | 103G00000X | Clinical Psychologist | 024406 | NY |
| Y | 103TC0700X | Clinical Psychologist | 024406 | NY |
National Provider Identifier
| NPI | 1003484635 |
|---|---|
| Provider Name | Stefanie Mary Iwanciw |
| First Address | Glen Oaks, NY 11004-1150 |
| Second Address | Glen Oaks, NY 11004-1150 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/06/2021 |
| Last Update Date | 14/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.