Provider Demographics
NPI:1053003210
Name:PAPAZAHARIAS, STEFANI EVA
Entity type:Individual
Prefix:DR
First Name:STEFANI
Middle Name:EVA
Last Name:PAPAZAHARIAS
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 1:6140 MEADOW LAKES DR
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-2006
Mailing Address - Country:US
Mailing Address - Phone:716-541-5046
Mailing Address - Fax:
Practice Address - Street 1:15 EARHART DR STE 101
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14221-7079
Practice Address - Country:US
Practice Address - Phone:716-334-3973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-24
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069575183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist