National Provider Identifier

Stephanie A Antonio, RN

Stephanie A Antonio, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Clyde, NY and a listed phone number of (315) 902-3000.

NPI 1922602143Clyde, NYRegistered Nurse

Profile Overview

NPI
1922602143
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
November 29, 2020
Last Updated
November 29, 2020

Practice Location

  • 215 Glasgow St
  • Clyde, NY 14433-1222

Phone: (315) 902-3000

Mailing Address

  • PO Box 125
  • Rose, NY 14542-0125

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1922602143
Entity Type
Individual
Last Name
Antonio
First Name
Stephanie
Middle Name
A
Name Prefix
MS.
Credential
RN
Mailing Street Address
PO Box 125
Mailing City
Rose
Mailing State
NY
Mailing ZIP Code
14542-0125
Mailing Country
US
Mailing Phone
(585) 576-3763
Practice Street Address
215 Glasgow St
Practice City
Clyde
Practice State
NY
Practice ZIP Code
14433-1222
Practice Country
US
Practice Phone
(315) 902-3000
Enumeration Date
November 29, 2020
Last Updated
November 29, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
November 29, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)