Provider Demographics
NPI:1487885885
Name:STAMAS, STEPHANIE JOY
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:JOY
Last Name:STAMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E 42 ST
Mailing Address - Street 2:SUITE1504
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017
Mailing Address - Country:US
Mailing Address - Phone:212-354-2622
Mailing Address - Fax:
Practice Address - Street 1:156 WILLIAM ST RM 800
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-5347
Practice Address - Country:US
Practice Address - Phone:212-267-0240
Practice Address - Fax:866-928-4144
Is Sole Proprietor?:No
Enumeration Date:2009-08-03
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL26852255A2300X
NY036660225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer