Individual
DR. RONALD STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
166 E JERICHO TPKE, MINEOLA, NY 11501-2098
(516) 408-3423
(516) 294-2734
Mailing address
166 E JERICHO TPKE, MINEOLA, NY 11501-2098
(516) 408-3423
(516) 294-2734
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
209886
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01920332
—
NY
01
—
118397
VYTRA
—
01
—
193073P
HIP
—
01
—
201285536
UHC
—
01
—
2590248
GHI
—
01
—
292AU1
BLUE CROSS BLUE SHIELD
—
01
—
4C9691
HEALTHNET
—
01
—
5460420
CIGNA
—
01
—
7249304
AETNA
—
01
—
AA72388A
MDNY
—
01
—
P00235529
RR MCR
—
01
—
P1219927
OXFORD
—
Enumeration date
12/12/2006
Last updated
06/13/2012
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