Provider Demographics
NPI:1609697622
Name:VILAYPHONE, STEPHINE DANELLE
Entity type:Individual
Prefix:
First Name:STEPHINE
Middle Name:DANELLE
Last Name:VILAYPHONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 SOUTHFIELD AVE APT 2103
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-7764
Mailing Address - Country:US
Mailing Address - Phone:209-229-0358
Mailing Address - Fax:
Practice Address - Street 1:150 SOUTHFIELD AVE
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-7756
Practice Address - Country:US
Practice Address - Phone:209-229-0358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health