Provider Demographics
NPI:1255444857
Name:ANDREONI, STEPHEN (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:ANDREONI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 STEWART AVE UNIT 1
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-2736
Mailing Address - Country:US
Mailing Address - Phone:631-553-5703
Mailing Address - Fax:631-824-9125
Practice Address - Street 1:11 STEWART AVE UNIT 1
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2736
Practice Address - Country:US
Practice Address - Phone:631-553-5703
Practice Address - Fax:631-824-9125
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILP00174207Q00000X
NY249761207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine