Individual
EDWARD M STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 WINDWARD AVE, WHITE PLAINS, NY 10605-5307
(914) 686-9075
(212) 737-8279
Mailing address
12 WINDWARD AVE, WHITE PLAINS, NY 10605-5307
(914) 686-9075
(212) 737-8279
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
NYMD107339
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113428
VALUE OPTIONS
—
01
—
674702
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/29/2006
Last updated
02/24/2011
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