Provider Demographics
NPI:1407613383
Name:STENECK, EMILY MARIE
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:MARIE
Last Name:STENECK
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 1:32 MELROSE AVE
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-1624
Mailing Address - Country:US
Mailing Address - Phone:631-896-5459
Mailing Address - Fax:
Practice Address - Street 1:3261 W STATE RD
Practice Address - Street 2:
Practice Address - City:SAINT BONAVENTURE
Practice Address - State:NY
Practice Address - Zip Code:14778-9800
Practice Address - Country:US
Practice Address - Phone:631-896-5459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist