Bolognese, Stephanie
Bolognese, Stephanie is an sole proprietor health care provider with primary practice located at 1 Hopewell Dr , Stony Brook NY 11790-2323. She recently has 10 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / School, Nursing Service Providers / General Practice, Nursing Service Providers / Home Health, Nursing Service Providers / Hospice, Nursing Service Providers / Pediatrics, Nursing Service Providers / Rehabilitation, Nursing Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Case Management, Nursing Service Providers / Gerontology. Nursing Service Providers / General Practice is her primary health care specialty. Bolognese, Stephanie can be contacted via phone (631) 689-0234.Contact Information
Primary practice address
1 Hopewell Dr
Stony Brook NY 11790-2323
Phone: (631) 689-0234
Fax: (631) 675-0262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 542792-1 | New York |
| Nursing Service Providers / School | 163WS0200X | 542792-1 | New York |
| Nursing Service Providers / General Practice | 163WG0000X | 542792-1 | New York |
| Nursing Service Providers / Home Health | 163WH0200X | 542792-1 | New York |
| Nursing Service Providers / Hospice | 163WH1000X | 542792-1 | New York |
| Nursing Service Providers / Pediatrics | 163WP0200X | 542792-1 | New York |
| Nursing Service Providers / Rehabilitation | 163WR0400X | 542792-1 | New York |
| Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | 542792-1 | New York |
| Nursing Service Providers / Case Management | 163WC0400X | 542792-1 | New York |
| Nursing Service Providers / Gerontology | 163WG0600X | 542792-1 | New York |
Profile Details
| NPI number | 1730384215 |
|---|---|
| LBN Legal business name | Bolognese, Stephanie |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2007 |
| Last updated | Mar 21st, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730384215 | NPPES |
| New York | Other | 01681263 | MEDICAID PRIVATE PROVIDER |
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