Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 34.015100 | OH |
NPI | 1154664175 |
---|---|
Provider Name | Stephanie Michelle Cerrone |
First Address | Youngstown, OH 44504-1003 |
Second Address | Youngstown, OH 44504-1003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2013 |
Last Update Date | 17/08/2021 |