Individual provider · Type 1 NPI

Tianna Stephens

Medical Physician Assistant · Rockville Centre, NY

NPI number 1497364111 Active

Practice location

165 N Village Ave Ste 5
Rockville Centre, NY 11570-3701

Call (516) 766-0393 Map

Mailing address

2 Central Ave
Glen Cove, NY 11542-2905

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1497364111

Tianna Stephens's National Provider Identifier is 1497364111, issued on Jul 28, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rockville Centre, NY. The record was last updated on Jul 28, 2020.