Stephanie M Peralta, is a
Massage Therapist based in Bardonia, New York. Stephanie M Peralta is licensed to practice in New York (license number 024520) and her current practice location is
175 Route 304, Bardonia, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 507-0477.
NPI number for Stephanie M Peralta is 1578907481 and her current mailing address is 175 Route 304, Bardonia, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578907481.
Healthcare Provider's Profile
| Full Name | Stephanie M Peralta |
|---|
| Gender | Female |
|---|
| Speciality | Massage Therapist |
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| Location | 175 Route 304, Bardonia, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578907481
- Provider Enumeration Date: 04/22/2013
- Last Update Date: 04/22/2013
Medical Identifiers
Medical identifiers for Stephanie M Peralta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578907481 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 024520 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie M Peralta is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stephanie M Peralta,
175 Route 304,
Bardonia, NY 10954-2042
Ph: (845) 507-0477 | Stephanie M Peralta,
175 Route 304,
Bardonia, NY 10954-2042
Ph: (845) 507-0477 |
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