Stephenson, Maxine A
Stephenson, Maxine A is an individual health care provider with primary practice located at 208 Half Hollow Rd , Dix Hills NY 11746. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Stephenson, Maxine A can be contacted via phone (631) 370-1700.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 175475 | New York |
Profile Details
| NPI number | 1174659569 |
|---|---|
| LBN Legal business name | Stephenson, Maxine A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Apr 28th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174659569 | NPPES |
| New York | MEDICAID | 175475 |
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