Individual
DR. MARY L. STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
240 E 38TH ST, 12TH FLOOR, NEW YORK, NY 10016-2708
(212) 263-7019
Mailing address
240 E 38TH ST, 12TH FLOOR, NEW YORK, NY 10016-2708
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
266547
NY
Other
Enumeration date
04/29/2011
Last updated
04/02/2021
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