Individual
CARLY SHEFTELL STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
395 JAY ST, BROOKLYN, NY 11201-5164
(718) 887-2660
(718) 679-9706
Mailing address
395 JAY ST, BROOKLYN, NY 11201-5164
(718) 887-2660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009865
NY
Other
Enumeration date
07/18/2023
Last updated
05/15/2025
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