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Organization

STEPHEN MEDICAL, PLLC

Active
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Organization

STEPHEN MEDICAL, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK STEPHEN DO (PHYSICIAN)
(347) 368-6222
Entity
Organization

Contact information

Practice address
18507 64TH AVE BSMT MEDICAL, FRESH MEADOWS, NY 11365-2707
(347) 368-6222
(347) 368-6291
Mailing address
18507 64TH AVE BSMT MEDICAL, FRESH MEADOWS, NY 11365-2707
(347) 368-6222
(347) 368-6291

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
01/09/2025
Last updated
01/09/2025
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