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Individual
DR. STEVEN WILLIAM SHEPHERD
Active
Individual
DR. STEVEN WILLIAM SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
159053
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F210P
HIP
NY
01
—
2436
VYTRA
NY
01
—
4412774
AETNA
NY
01
—
CP567
OXFORD
NY
Enumeration date
09/27/2006
Last updated
06/17/2015
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