Provider Demographics
NPI:1396815577
Name:FERRARA, STEVEN A (RNP)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:A
Last Name:FERRARA
Suffix:
Gender:M
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 EVERETT ST
Mailing Address - Street 2:
Mailing Address - City:TUCKAHOE
Mailing Address - State:NY
Mailing Address - Zip Code:10707-3733
Mailing Address - Country:US
Mailing Address - Phone:718-920-2439
Mailing Address - Fax:718-920-2435
Practice Address - Street 1:111 EAST 210TH STREET
Practice Address - Street 2:MMC - EMERGENCY MEDICINE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2490
Practice Address - Country:US
Practice Address - Phone:718-920-5406
Practice Address - Fax:718-920-2435
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF331952363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner