Provider Demographics
NPI:1295184844
Name:CARTAGENA, STEPHANIE
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:CARTAGENA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 73RD ST
Mailing Address - Street 2:APT 271
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-2246
Mailing Address - Country:US
Mailing Address - Phone:347-816-5647
Mailing Address - Fax:
Practice Address - Street 1:191 73RD ST
Practice Address - Street 2:APT 271
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-2246
Practice Address - Country:US
Practice Address - Phone:347-816-5647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-05
Last Update Date:2016-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator