Search › New York › 208100000X
Jake Stephen, DO
NPI 1134740301 · on the registry since 2020
Practice
- Address
- 1630 Richmond Rd
Staten Island, NY 10304 - Phone
- (718) 339-7100
- Fax
- (718) 339-3071
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Also registered as
- 2081P2900X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York