Stevens, Jacqueline R M

Stevens, Jacqueline R M is an individual health care provider with primary practice located at 121 Dekalb Ave , Brooklyn NY 11201-5425. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Stevens, Jacqueline R M can be contacted via phone (718) 250-8444.

Contact Information

Primary practice address
121 Dekalb Ave Brooklyn NY 11201-5425
Phone: (718) 250-8444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 173590 New York
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 173590 New York

Profile Details

NPI number 1376759167
LBN Legal business name Stevens, Jacqueline R M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Jul 8th, 2007 - about 17 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 1376759167 NPPES
New York MEDICAID 01833774

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