Individual
MARJORIE ELAINE STEPHENS-ASHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1869 BRENTWOOD RD, BRENTWOOD, NY 11717-4625
(631) 853-3400
Mailing address
265 OCEAN AVE, ISLIP, NY 11751-4607
(631) 277-5955
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
132482-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01433274
—
NY
Enumeration date
09/27/2006
Last updated
07/08/2007
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