Provider Demographics
NPI:1467813543
Name:FLASKAL, STEPHANIE ANNE (ECSE, ECE, CSE, CE)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:ANNE
Last Name:FLASKAL
Suffix:
Gender:F
Credentials:ECSE, ECE, CSE, CE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:OYSTER BAY
Mailing Address - State:NY
Mailing Address - Zip Code:11771-2918
Mailing Address - Country:US
Mailing Address - Phone:516-965-3181
Mailing Address - Fax:
Practice Address - Street 1:28 ADAMS ST
Practice Address - Street 2:
Practice Address - City:OYSTER BAY
Practice Address - State:NY
Practice Address - Zip Code:11771-2918
Practice Address - Country:US
Practice Address - Phone:516-965-3181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-16
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2652501251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)