Individual
SHARON STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 FOSTER AVENUE, NORTH VALLEY STREAM, VALLEY STREAM, NY 11580
(516) 996-2176
(516) 285-0267
Mailing address
51 FOSTER AVENUE, NORTH VALLEY STREAM, VALLEY STREAM, NY 11580
(516) 996-2176
(516) 285-0267
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
FOR MY JOB SERVICE PROVIDER
NY
Enumeration date
10/05/2017
Last updated
10/05/2017
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