Individual
MS. STEPHANIE KAREN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
138-31-248 STREET, APT 1, ROSEDALE, NY 11422
(917) 864-6311
Mailing address
138-31-248 STREET, ROSEDALE, NY 11422
(917) 864-6311
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
011024
NY
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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