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Tianna Stephens
Medical Physician Assistant in Rockville Centre, New York
NPI 1497364111

Tianna Stephens is a Medical Physician Assistant based in Glen Cove, NY and is specialized in Medical. Tianna Stephens practices in Rockville Centre, NY. The NPI Number for Tianna Stephens is 1497364111 and holds a License No. (New York).

The current practice location address for Tianna Stephens is 165 N Village Ave Ste 5, Rockville Centre, NY and can be reached out via phone at 516-766-0393.

Location: 165 N Village Ave Ste 5, Rockville Centre, NY, 11542-2905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497364111
Provider Name
Tianna Stephens
Credential
Provider Entity Type
Individual
Gender
Female
Address
165 N Village Ave Ste 5, Rockville Centre, NY, 11542-2905
Phone Number
516-766-0393
Fax Number
Provider Enumeration Date
07/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
165 N Village Ave Ste 5
City
Rockville Centre
State
New York
Zip
11570-3701
Phone Number
516-766-0393
Fax Number
person
Provider Business Mailing Address Details
Address
165 N Village Ave Ste 5
City
Rockville Centre
State
New York
Zip
11570-3701
Phone Number
516-766-0393
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
(New York)
Definition
Definition to come...
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