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Individual

STEVEN R INGLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8900 VAN WYCK EXPRESSWAY, JAMAICA, NY 11418
(718) 206-7642
(718) 206-6786
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT, MELVILLE, NY 11747-4230
(631) 391-8366
(631) 454-4161

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
178056
NY
207VM0101X
Maternal & Fetal Medicine Physician
Primary
178056
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01186350
NY
Enumeration date
03/24/2006
Last updated
01/17/2013
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