Individual
DR. GERALD LESTER STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
320 PORTER AVE, BUFFALO, NY 14201-1032
(716) 474-4511
Mailing address
320 PORTER AVE, BUFFALO, NY 14201-1032
(716) 474-4511
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010352
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
652546
AMERICAN CHIROPRACTIC NET
NY
01
—
73-1664708
LANDMARK
NY
01
—
7514542
AETNA
NY
01
—
837319
MANAGED PHYSOCAL NETWORK
NY
01
—
8811391
INDEPENDENT HEALTH
NY
01
—
C10352-5B
WORKERS COMPENSATION
NY
Enumeration date
04/26/2006
Last updated
03/13/2026
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