Stepancic, Mariano

Stepancic, Mariano is an sole proprietor health care provider with primary practice located at 15455 Willets Point Blvd , Whitestone NY 11357-3716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Stepancic, Mariano can be contacted via phone (718) 886-2400.

Contact Information

Primary practice address
15455 Willets Point Blvd Whitestone NY 11357-3716
Phone: (718) 886-2400
Fax: (718) 886-9005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 186198 New York

Profile Details

NPI number 1043360944
LBN Legal business name Stepancic, Mariano
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043360944 NPPES
New York MEDICAID 01411361

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