Provider Demographics
NPI:1396129508
Name:GARCIA, STEPHANIE CLAIRE (NP)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:CLAIRE
Last Name:GARCIA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:352 7TH AVE RM 1503
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5047
Mailing Address - Country:US
Mailing Address - Phone:646-894-1830
Mailing Address - Fax:
Practice Address - Street 1:352 7TH AVE RM 1503
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5047
Practice Address - Country:US
Practice Address - Phone:646-894-1830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-17
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY662548163W00000X
NJ26NR15721800163W00000X
NY340329363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse