Stephen, Bibiana D

Stephen, Bibiana D is an individual health care provider with primary practice located at 951 Roanoke Ave , Riverhead NY 11901-2724. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Stephen, Bibiana D can be contacted via phone (631) 727-7773.

Contact Information

Primary practice address
951 Roanoke Ave Riverhead NY 11901-2724
Fax: (631) 727-7832
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 1947391 New York

Profile Details

NPI number 1811987522
LBN Legal business name Stephen, Bibiana D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Mar 10th, 2017 - about 7 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 1811987522 NPPES
New York MEDICAID 01611994

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