Provider Demographics
NPI:1356629323
Name:PREZIOSO, STEPHANIE (MS, PA-C)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:
Last Name:PREZIOSO
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Gender:F
Credentials:MS, PA-C
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Mailing Address - Street 1:525 E 68TH ST
Mailing Address - Street 2:PAYSON 695
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:212-746-3494
Mailing Address - Fax:212-746-8609
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:PAYSON 695
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:212-746-1986
Practice Address - Fax:212-746-8609
Is Sole Proprietor?:No
Enumeration Date:2011-07-25
Last Update Date:2016-10-26
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant