Provider Demographics
NPI:1053406611
Name:LINDAHL, STEFANIE J (MD)
Entity type:Individual
Prefix:
First Name:STEFANIE
Middle Name:J
Last Name:LINDAHL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1200 BROWN STREET, 4TH FLOOR
Mailing Address - Street 2:ATTN: CREDENTIALING
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566
Mailing Address - Country:US
Mailing Address - Phone:914-734-8858
Mailing Address - Fax:914-734-8745
Practice Address - Street 1:3360 ROUTE 343
Practice Address - Street 2:HUDSON RIVER HEALTHCARE, INC.
Practice Address - City:AMENIA
Practice Address - State:NY
Practice Address - Zip Code:12501
Practice Address - Country:US
Practice Address - Phone:845-373-9006
Practice Address - Fax:845-373-7021
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
NY1982592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00473038Medicaid