Individual
STEPHEN P HAVESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
306 E 15TH STREET, NEW YORK, NY 10003
(212) 529-2407
(212) 529-2469
Mailing address
PO BOX 95000-2424, PHILADELPHIA, PA 19195-2424
(212) 529-2407
(212) 529-2469
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
100541
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00172394
—
NY
Enumeration date
07/02/2006
Last updated
11/14/2012
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