Provider Demographics
NPI:1548509797
Name:PALENCIA, STELLA (NP)
Entity type:Individual
Prefix:MS
First Name:STELLA
Middle Name:
Last Name:PALENCIA
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:ONE GUSTAVE L. LEVY PLACE BOX 1030
Mailing Address - Street 2:MOUNT SINAI MEDICAL CENTER CARDIOLOGY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6574
Mailing Address - Country:US
Mailing Address - Phone:212-241-6911
Mailing Address - Fax:212-426-6962
Practice Address - Street 1:ONE GUSTAVE L. LEVY PLACE - GP 6 CENTER RM 272
Practice Address - Street 2:MOUNT SINAI MEDICAL CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6574
Practice Address - Country:US
Practice Address - Phone:212-241-6911
Practice Address - Fax:212-426-6962
Is Sole Proprietor?:No
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF430610-1363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care