Individual
STEVEN A STAVRIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
999 FRANKLIN AVE, GARDEN CITY, NY 11530-2913
(516) 742-3404
(516) 742-4716
Mailing address
999 FRANKLIN AVE, GARDEN CITY, NY 11530-2913
(516) 742-3404
(516) 742-4716
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005673-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02712792
—
NY
Enumeration date
10/13/2006
Last updated
02/02/2009
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