Individual
ALTAIR ROBERT STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22004 LINDEN BLVD, JAMAICA, NY 11411-1621
(718) 712-3358
Mailing address
22004 LINDEN BLVD, JAMAICA, NY 11411-1621
(718) 712-3358
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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