Provider Demographics
NPI:1063832764
Name:STINGONE, GENEVIEVE (MSED)
Entity Type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:
Last Name:STINGONE
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 HOWARD AVE
Mailing Address - Street 2:APT. 6E
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-4449
Mailing Address - Country:US
Mailing Address - Phone:347-609-3207
Mailing Address - Fax:
Practice Address - Street 1:830 HOWARD AVE
Practice Address - Street 2:APT. 6E
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-4449
Practice Address - Country:US
Practice Address - Phone:347-609-3207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-21
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY792785174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist