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1942481056
STEPHEN J JOHN
RIVERHEAD, NY
NPI
1942481056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 244662-1)
Enumeration Date
2007-11-16
Last Update Date
2007-11-16
Business Address
-- STEPHEN J JOHN M.D.
100 CENTER DR RIVERHEAD CORRECTIONAL FACILITY; JAIL MEDICAL UNIT
RIVERHEAD, NY 11901-3307
Phone number: 631-852-1989
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Mailing Address
-- STEPHEN J JOHN M.D.
1300 ROANOKE AVE
RIVERHEAD, NY 11901-2031
Phone number:
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