# JOUVENCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003236589
- **Authorized official:** LODZE STECKMAN M.D. (OWNER)
- **Authorized official phone:** (781) 254-3091

## Contact information

- **Practice address:** 277 PIPING ROCK RD, LOCUST VALLEY, NY 11560-2504
- **Practice address phone:** (781) 254-3091
- **Mailing address:** 277 PIPING ROCK RD, LOCUST VALLEY, NY 11560-2504
- **Mailing address phone:** (781) 254-3091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 256450 | NY | Yes |

## Other

- **Enumeration date:** 04/23/2014
- **Last updated:** 04/23/2014