Individual
STEPHEN L DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-2034
Mailing address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-2034
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
017462-1
NY
Other
Enumeration date
04/08/2014
Last updated
11/15/2022
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