Provider Demographics
NPI:1558483941
Name:STEGMAN, JEFFREY (MS)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:
Last Name:STEGMAN
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 W 30TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-2812
Mailing Address - Country:US
Mailing Address - Phone:212-967-1199
Mailing Address - Fax:212-967-9609
Practice Address - Street 1:243 W 30TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-2812
Practice Address - Country:US
Practice Address - Phone:212-967-1199
Practice Address - Fax:212-967-9609
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000005070237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist