STEPHANIE YVETTE STORE FNP
NPI 1700224367
Nurse Practitioner - Family in Rosedale, NY

Q: What is Stephanie Store's NPI number?

The NPI number for Stephanie Store is 1700224367. It was assigned to this individual provider in the NPPES registry on June 5, 2013.

Q: What is Stephanie Store's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Store was last updated on June 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.

Active since June 05, 2013

245-11 134 AVE, ROSEDALE, NY 11422(646) 309-4034 Get Directions Write a Review

NPPES record last updated: June 5, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Stephanie Yvette Store Fnp NPPES

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

STEPHANIE YVETTE STORE FNP (NPI 1700224367) is an individual family provider in Rosedale, New York, licensed in New York (F336569-1) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1700224367

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTEPHANIE YVETTE STORECredential: FNP

Location Address245-11 134 AVERosedale, NY 11422

Mailing Address24511 134th AveRosedale, NY 11422-1426 · (646) 309-4034

Phone(646) 309-4034

Sole ProprietorYes

Enumeration DateJune 5, 2013

✔ NPI 1700224367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F336569-1

245-11 134 AVE, Rosedale, NY 11422

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Other Identifiers 1

Other462905599NY · Ein

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 Store's NPI number?

The NPI number for Stephanie Store is 1700224367. It was assigned to this individual provider in the NPPES registry on June 5, 2013.

Where is Stephanie Store located?

Stephanie Store practices at 245-11 134 Ave, Rosedale, NY 11422. The listed phone number is (646) 309-4034.

What is Stephanie Store's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Stephanie Store was last updated on June 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.