1588122469 NPI number — WENDY ANN STECKMEISTER

Table of content: WENDY ANN STECKMEISTER (NPI 1588122469)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588122469 NPI number — WENDY ANN STECKMEISTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STECKMEISTER
Provider First Name:
WENDY
Provider Middle Name:
ANN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PLANK
Provider Other First Name:
WENDY
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
SPECIAL EDUCATION
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1588122469
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
124 STONY BROOK RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FISHKILL
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12524-2984
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-592-0097
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
101 STAGE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONROE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10950-3512
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-827-6227
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/09/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)