Individual
DESSISLAVA STEFANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2750 MERRICK RD, BELLMORE, NY 11710-5720
(516) 992-5626
Mailing address
2750 MERRICK RD, BELLMORE, NY 11710-5720
(516) 992-5626
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
294310
NY
Other
Enumeration date
03/25/2016
Last updated
11/26/2024
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