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STEPHANIE WISBORO
NPI 1699629725
Counselor - Addiction (Substance Use Disorder) in Massapequa Park, NY

Active since February 25, 2026
5100 SUNRISE HWY FL 2, MASSAPEQUA PARK, NY 11762(631) 696-4357 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Wisboro NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE WISBORO (NPI 1699629725) is an individual addiction (substance use disorder) provider in Massapequa Park, New York and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1699629725
Entity TypeIndividual
Primary Taxonomy101YA0400X
Provider Legal NameSTEPHANIE WISBORO
Location Address5100 SUNRISE HWY FL 2Massapequa Park, NY 11762-2935
Mailing Address1377 Motor Pkwy Ste 102Islandia, NY 11749-5249
Phone(631) 696-4357
Sole ProprietorNo
Enumeration DateFebruary 25, 2026
NPPES CertifiedFebruary 25, 2026
✔ NPI 1699629725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
5100 SUNRISE HWY FL 2, Massapequa Park, NY 11762
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE HEALY
Counselor (Addiction (Substance Use Disorder))
5100 SUNRISE HWY FL 2
MASSAPEQUA PARK, NY 11762
Nassau County (631) 696-4357
SIOBHAN EARECKSON
Peer Specialist
5100 SUNRISE HWY FL 2
MASSAPEQUA PARK, NY 11762
Nassau County (631) 696-4357
ROBERT BLAIR PMHNP, RN
Nurse Practitioner (Psychiatric/Mental Health)
5100 SUNRISE HWY FL 2
MASSAPEQUA PARK, NY 11762
Nassau County (516) 715-1356
BARBARA MARAIA-RENTZ
Counselor (Addiction (Substance Use Disorder))
5100 SUNRISE HWY FL 2
MASSAPEQUA PARK, NY 11762
Nassau County (631) 696-4357
LUCAS WRIGHT
Counselor (Addiction (Substance Use Disorder))
5100 SUNRISE HWY FL 2
MASSAPEQUA PARK, NY 11762
Nassau County (631) 696-4357
ALISON CASTALDY
Peer Specialist
5100 SUNRISE HWY FL 2
MASSAPEQUA PARK, NY 11762
Nassau County (631) 696-4357
BRITTANY TYNAN LMHC
Counselor (Mental Health)
5100 SUNRISE HWY FL 2
MASSAPEQUA PARK, NY 11762
Nassau County (631) 696-4357
LAUREN WILLIAMS
Counselor (Addiction (Substance Use Disorder))
5100 SUNRISE HWY FL 2
MASSAPEQUA PARK, NY 11762
Nassau County (631) 696-4357

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Wisboro's NPI number?

The NPI number for Stephanie Wisboro is 1699629725. It was assigned to this individual provider in the NPPES registry on February 25, 2026.

Where is Stephanie Wisboro located?

Stephanie Wisboro practices at 5100 Sunrise Hwy Fl 2, Massapequa Park, NY 11762. The listed phone number is (631) 696-4357.

What is Stephanie Wisboro's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Stephanie Wisboro was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.