Provider Demographics
NPI:1821421900
Name:FIGUEROA, STEPHANIE (TVI MS)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:TVI MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 CROWN ST
Mailing Address - Street 2:APT B10
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-5258
Mailing Address - Country:US
Mailing Address - Phone:347-423-8903
Mailing Address - Fax:
Practice Address - Street 1:621 CROWN ST
Practice Address - Street 2:APT B10
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-5258
Practice Address - Country:US
Practice Address - Phone:347-423-8903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist