Individual
WILLIAM MICHAEL STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
13802 QUEENS BLVD, BRIARWOOD, NY 11435-2665
(718) 206-2000
Mailing address
50 WARREN ST, ELLENVILLE, NY 12428-2216
(845) 665-1054
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
318741-1
NY
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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