Organization
RONALD A STEVENS MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD A STEVENS MD (OWNER)
(516) 408-3423
Entity
Organization
Contact information
Practice address
166 E JERICHO TPKE, MINEOLA, NY 11501-2098
(516) 408-3423
Mailing address
166 E JERICHO TPKE, MINEOLA, NY 11501-2098
(516) 408-3423
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
209886
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01920332
—
NY
Enumeration date
02/24/2010
Last updated
02/24/2010
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