Individual
NIKEISHA STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
2510 30TH AVE, ASTORIA, NY 11102-2448
(718) 267-4390
Mailing address
11809 201ST PL, SAINT ALBANS, NY 11412-3530
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013617
NY
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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