Provider Demographics
NPI:1689978074
Name:STEBLAI, MARIA PATRICIA
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:PATRICIA
Last Name:STEBLAI
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 ARBOR RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11720-1405
Mailing Address - Country:US
Mailing Address - Phone:631-696-2896
Mailing Address - Fax:
Practice Address - Street 1:32 ARBOR RIDGE LN
Practice Address - Street 2:
Practice Address - City:SOUTH SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11720-1405
Practice Address - Country:US
Practice Address - Phone:631-696-2896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017574174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY12163327OtherUNITED BEHAVIORAL HEALTH