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1174659569
MAXINE A STEPHENSON
DIX HILLS, NY
NPI
1174659569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 175475)
Enumeration Date
2007-02-27
Last Update Date
2011-04-28
Business Address
MAXINE A STEPHENSON
208 HALF HOLLOW RD
DIX HILLS, NY 11746
Phone number: 631-370-1700
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Mailing Address
MAXINE A STEPHENSON
79 CEDAR ST
HEMPSTEAD, NY 11550-5807
Phone number:
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