Individual
MRS. KATHERINE WILKES STEVKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
100 PORT WASHINGTON BOULEVARD, ATTENTION MEDICAL AFFAIRS, ROSLYN, NY 11576
(516) 562-6000
Mailing address
8 CENTER CT, BETHPAGE, NY 11714-2209
(516) 390-9208
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303742-1
NY
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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