Provider Demographics
NPI:1891758660
Name:STEPHEN-JOHNSON, GAIL ALLISON (MD)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:ALLISON
Last Name:STEPHEN-JOHNSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 BEACH CHANNEL DR
Mailing Address - Street 2:
Mailing Address - City:ARVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11692-1409
Mailing Address - Country:US
Mailing Address - Phone:718-945-7150
Mailing Address - Fax:
Practice Address - Street 1:233 NOSTRAND AVE
Practice Address - Street 2:BEDFORD WILLIAMSBURG CTR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205
Practice Address - Country:US
Practice Address - Phone:718-826-5911
Practice Address - Fax:718-826-5860
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1915621207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology