Provider Demographics
NPI:1124733209
Name:SINGER, STEFANIE (RN, BSN)
Entity type:Individual
Prefix:
First Name:STEFANIE
Middle Name:
Last Name:SINGER
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 NORTHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-3061
Mailing Address - Country:US
Mailing Address - Phone:585-309-2276
Mailing Address - Fax:
Practice Address - Street 1:MONROE COUNTY DEPARTMENT OF PUBLIC HEALTH
Practice Address - Street 2:111 WESTFALL RD.
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620
Practice Address - Country:US
Practice Address - Phone:585-753-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY639253-1163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY639253-1OtherRN NY LICENSE