Healthcare Provider Details

I. General information

NPI: 1154586188
Provider Name (Legal Business Name): STEVEN M DUFFY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2008
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5008 BRITTONFIELD PKWY STE 700
EAST SYRACUSE NY
13057-9249
US

IV. Provider business mailing address

5875 BREMO RD SUITE G-11
RICHMOND VA
23226-1934
US

V. Phone/Fax

Practice location:
  • Phone: 315-472-7504
  • Fax: 315-634-4677
Mailing address:
  • Phone: 804-287-7804
  • Fax: 804-287-7178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number251381
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: