Provider Demographics
NPI:1093041170
Name:MONACO, STEPHANIE (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:
Last Name:MONACO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 RELLA BLVD STE 165
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-8114
Mailing Address - Country:US
Mailing Address - Phone:347-541-6045
Mailing Address - Fax:534-248-9827
Practice Address - Street 1:DR. STEPHANIE MONACO, MD
Practice Address - Street 2:400 RELLA BLVD STE 165
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901
Practice Address - Country:US
Practice Address - Phone:347-541-6045
Practice Address - Fax:534-248-9827
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-26
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236706-012084P0800X
CO452512084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry