Organization
INTERFAITH PROFESSIONAL PHYSICIAN SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY STEPHENS MD (PRESIDENT)
(718) 613-6588
Entity
Organization
Contact information
Practice address
1545 ATLANTIC AVENUE, FACULTY PRACTICE, BROOKLYN, NY 11213-1122
(718) 240-8352
(718) 613-4101
Mailing address
1545 ATLANTIC AVENUE, FACULTY PRACTICE, BROOKLYN, NY 11213-1122
(347) 628-4660
(718) 613-6422
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
207L00000X
Anesthesiology Physician
—
—
207N00000X
Dermatology Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207VG0400X
Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
05/03/2011
Last updated
08/12/2024
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