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NPI Code Detail

MEDICARE: DANIEL STEPHENS P.A.

MEDICARE:   DANIEL  STEPHENS  P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant009237NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053396192
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL STEPHENS P.A.
Provider Business Mailing Address
First Line : 2050 ROUTE 22
Second Line : SUITE 101
City : BREWSTER
State : NY
Zip : 10509-5948
Country : US
Telephone Number : 845-279-2323
Fax Number : 845-278-2115
Provider Business Practice Location Address
First Line : 2050 ROUTE 22
Second Line :
City : BREWSTER
State : NY
Zip : 10509-5948
Country : US
Telephone Number : 845-279-2323
Fax Number : 845-278-2115
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 11/21/2008

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Directions to “ DANIEL STEPHENS P.A.” Practice Location

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