Doctor Name: | MR. JOHN G. STEPENSKY |
NPI Number: | 1083831937 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.O. |
License Number: | 000406 |
Business Practice Address: | 513 S Main St New Britain, CT - 060514007 |
Business Phone Number: | 8602233973 |
Business Fax Number: | 8602233973 |
Mailing Address: | 513 South Main St., NEW BRITAIN |
State: | CT |
Postal Code: | 06051 |
Phone Number: | 8602233973 |
Fax Number: | 8602233973 |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 01/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 000406 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |