MAXINE A STEPHENSON
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1174659569- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 208 HALF HOLLOW RD, DIX HILLS, NY, 11746
- Phone
- (631) 370-1700
Specialties & Taxonomies
Family Medicine
Primary License: NY #175475
All Addresses
MAILING
79 CEDAR ST
HEMPSTEAD, NY, 115505807