GAIL S STEPHENS


Address: 195 Willoughby Ave Apt 610, Brooklyn, NY 11205-3847
Phone: 9177768939

GAIL S STEPHENS (NPI# 1457891566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457891566
Entity Type Organization
Organization Name GAIL S STEPHENS
Practice Address 195 Willoughby Ave Apt 610
Brooklyn
NY 11205-3847
Practice Telephone 9177768939
Mailing Telephone 9177768939
Enumeration Date 2017-03-08
Last Update Date 2017-03-08
Authorized Official Name GAIL STEPHENS (OCCUPATIONAL THERAPIST)
Authorized Official Telephone 9177768939
Authorized Official Credential OTRL
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
0212571 NY Ambulatory Health Care Facilities

Office Location

Street Address 195 WILLOUGHBY AVE APT 610
City BROOKLYN
State NY
Zip Code 11205-3847

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1104368422 Damali Robinson Speech-Language Pathologist 195 Willoughby Avenue, Apartment 609, Brooklyn, NY 11205 2016-11-17
1316304413 Kyung Han Case Manager/Care Coordinator 950 Kent Avenue, 3f, Brooklyn, NY 11205 2016-01-20
1285039081 Shani Jordan-goldman Dietitian, Registered 80 Vanderbilt Ave, Brooklyn, NY 11205 2014-10-23
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1386985323 Rose Marie Demosthene Registered Nurse Cumberland D&tc, 100 North Portland Avenue, Brooklyn, NY 11205 2013-03-14
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Taxonomy Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

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1740553122 Ramon Vallarino Jr, Mdpc Clinic/Center 164 20th Street Suite 2e, Brooklyn, NY 11232 2012-02-16
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Competitor

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City BROOKLYN
Zip Code 11205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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