NPI 1114430642

Stephanie Virasawmi, MAATRBCLCAT

Practitioner Medical Art Specialist/Technologist Bronx, NY

Practice location

Address: 4419 3rd Ave, Bronx, NY 10457-2562
Phone: (718) 364-7700
Fax: (718) 364-1513
Mailing address: 34 Fig St, Central Islip, NY 11722-4002

Registered specialties

Medical Art Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZA2600X Licence 002036 (NY)

Other Specialist/Technologist, Other providers in New York →

Registry record

NPI: 1114430642
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Nov 2017
Record last updated: 11 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.