Individual
MR. STEPHAN K SALVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
100 HOSPITAL RD STE 216, EAST PATCHOGUE, NY 11772
(631) 475-5511
(631) 475-5544
Mailing address
100 HOSPITAL RD STE 216, EAST PATCHOGUE, NY 11772-8814
(631) 475-5511
(631) 475-5544
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
342167
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
342167
NEW YORK STATE LICENCE NUMBER
NY
Enumeration date
08/31/2017
Last updated
06/14/2018
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