Provider Demographics
NPI:1962753095
Name:ALLEYNE, STEPHNIE PATRICIA (LPN)
Entity type:Individual
Prefix:MRS
First Name:STEPHNIE
Middle Name:PATRICIA
Last Name:ALLEYNE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 DECATUR ST APT 3L
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233-2047
Mailing Address - Country:US
Mailing Address - Phone:347-777-2605
Mailing Address - Fax:
Practice Address - Street 1:675 DECATUR ST APT 3L
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233-2047
Practice Address - Country:US
Practice Address - Phone:347-777-2605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY296350-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse