Individual
BROOKE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1690
(315) 470-7111
Mailing address
207 N MARVINE AVE, AUBURN, NY 13021-2919
(315) 515-8689
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
027824
NY
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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