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STEPHEN PENTHEROS, NP
NP
Adult Health Nurse Practitioner
NPI: 1578840393IndividualAccepts Medicare
Specialties, Licenses & Credentials
Adult Health Nurse PractitionerPrimary
Nurse Practitioner — Adult Health
Code: 363LA2200X
310357(NY)
Licensed Practical Nurse
Licensed Practical Nurse
Code: 164W00000X
306726-1(NY)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Class of 2021
Contact & Hours
- Address
- 750 OLD COUNTRY RD BLDG 2
RIVERHEAD, NY 11901 - Phone
- (631) 751-3000
Quick Facts
- NPI
- 1578840393
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 5
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