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STEPHANIE IDA
NPI 1861190209
Specialist in Patchogue, NY

Active since February 15, 2023
20 BAILEY AVE, PATCHOGUE, NY 11772(631) 790-4301 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Ida NPPES

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

STEPHANIE IDA (NPI 1861190209) is an individual specialist in Patchogue, New York, licensed in New York (447004921) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1861190209
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameSTEPHANIE IDA
Location Address20 BAILEY AVEPatchogue, NY 11772-3902
Mailing Address20 Bailey AvePatchogue, NY 11772-3902 · (631) 790-4301
Phone(631) 790-4301
Sole ProprietorNo
Enumeration DateFebruary 15, 2023
NPPES CertifiedFebruary 15, 2023
✔ NPI 1861190209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 447004921
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
20 BAILEY AVE, Patchogue, NY 11772
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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 Ida's NPI number?

The NPI number for Stephanie Ida is 1861190209. It was assigned to this individual provider in the NPPES registry on February 15, 2023.

Where is Stephanie Ida located?

Stephanie Ida practices at 20 Bailey Ave, Patchogue, NY 11772. The listed phone number is (631) 790-4301.

What is Stephanie Ida's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Stephanie Ida was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.