Individual
DANIEL STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 ROSEMARY CT, MANORVILLE, NY 11949-2819
(631) 379-3135
Mailing address
3 ROSEMARY CT, MANORVILLE, NY 11949-2819
(631) 379-3135
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002725
NY
Other
Enumeration date
11/29/2014
Last updated
11/29/2014
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