Individual
STEPHAN BICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
611 NORTHERN BLVD STE 150, GREAT NECK, NY 11021-5207
(516) 325-7000
Mailing address
611 NORTHERN BOULEVARD, SUITE 150, GREAT NECK, NY 11021
(516) 325-7000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
137107
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2012
Last updated
07/21/2022
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