| Stephen Medical, PLLC | |
|
18507 64th Ave Bsmt Medical Fresh Meadows NY 11365-2707 | |
| (347) 368-6222 | |
| (347) 368-6291 |
| Full Name | Stephen Medical, PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 18507 64th Ave Bsmt Medical, Fresh Meadows, New York |
| Authorized Official Name and Position | Mark Stephen (PHYSICIAN) |
| Authorized Official Contact | 3473686222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Medical, PLLC 18507 64th Ave Bsmt Medical Fresh Meadows NY 11365-2707 Ph: (347) 368-6222 | Stephen Medical, PLLC 18507 64th Ave Bsmt Medical Fresh Meadows NY 11365-2707 Ph: (347) 368-6222 |
| NPI Number | 1457161614 |
|---|---|
| Provider Enumeration Date | 01/09/2025 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/09/2025 |
| Medicare PECOS PAC ID | 7911436951 |
|---|---|
| Medicare Enrollment ID | O20250121002291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457161614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Mark Abiah Stephen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275912495 PECOS PAC ID: 7618226895 Enrollment ID: I20180821003059 |
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