Individual
MARIE LYNNE ELOI-STIVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-8621
(718) 250-8878
Mailing address
148 GILROY AVE, UNIONDALE, NY 11553-1249
(516) 292-4320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
218126
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2096606
—
NY
Enumeration date
09/20/2006
Last updated
03/07/2023
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