Individual
GARY STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-8773
Mailing address
GPO BOX 30060, NEW YORK, NY 10087-0060
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
211387
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02668133
—
NY
Enumeration date
08/22/2006
Last updated
03/11/2008
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