Individual
DR. STEPHEN KOSTER HOVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 GRAND ST, WARWICK, NY 10990-0677
(845) 986-7885
(845) 986-7496
Mailing address
21 CRYSTAL FARM RD, WARWICK, NY 10990-2864
(845) 986-5279
(845) 986-7496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
145941
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
145941
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
145941
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00595271
—
NY
Enumeration date
09/23/2006
Last updated
09/11/2025
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