Organization
MARK E. STEPHEN MD P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STEPHEN (DIRECTOR)
(631) 656-9517
Entity
Organization
Contact information
Practice address
2 MARTINGALE GATE, SAINT JAMES, NY 11780-3546
(631) 656-9517
Mailing address
2 MARTINGALE GATE, SAINT JAMES, NY 11780-3546
(631) 656-9517
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
213491
NY
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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