Individual
CRAIG EVAN STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 CENTRAL PARK W APT 1N, NEW YORK, NY 10023-7210
(917) 423-5314
Mailing address
785 W END AVE APT 6C, NEW YORK, NY 10025-5451
(917) 423-5336
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001019
NY
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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