Individual
MISS BROOKE STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 ULSTER AVE STE 227, KINGSTON, NY 12401-8102
(845) 336-6030
Mailing address
1300 ULSTER AVE STE 227, KINGSTON, NY 12401-8102
(845) 336-6030
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044995
NY
Other
Enumeration date
04/14/2008
Last updated
02/16/2011
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