Individual
KHATUNA STEPKOVITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1/2 ORANGE STREET, DR.STEPKOVITCH'S OFICE, MARCELLUS, NY 13108
(315) 673-1529
Mailing address
1/2 ORANGE ST, MARCELLUS, NY 13108
(315) 673-1529
(315) 673-2434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
236662
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
236662
NY
Other
Enumeration date
07/07/2006
Last updated
12/19/2011
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