Individual
NICOLE M STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1530 FRONT ST, EAST MEADOW, NY 11554-2265
(516) 324-7500
(516) 520-5715
Mailing address
719 THOMPSON LN STE 30330, NASHVILLE, TN 37204-4701
(615) 322-3000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
309457
NY
207X00000X
Orthopaedic Surgery Physician
60843
TN
207XX0801X
Orthopaedic Trauma Physician
60843
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2015
Last updated
09/09/2021
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