MEDICARE: DIANA MARIE STEPHENS MD

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
1	207N00000X	Dermatology Physician	294045	NY

General Provider Information

NPI Number	:	1154687945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA MARIE STEPHENS MD

Provider Business Mailing Address
First Line	:	1020 CRAFT RD STE A
Second Line	:
City	:	ITHACA
State	:	NY
Zip	:	14850-1016
Country	:	US
Telephone Number	:	607-339-0456
Fax Number	:

Provider Business Practice Location Address
First Line	:	1020 CRAFT RD STE A
Second Line	:
City	:	ITHACA
State	:	NY
Zip	:	14850-1016
Country	:	US
Telephone Number	:	607-339-0456
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2012
Last Update Date	:	10/06/2018

Similar Medicare Providers

1770050445 — TONYAH BELL NP
Practice Location Address:

1051 CRAFT RD
ITHACA, NY
14850-1016

Practice Phone: 607-257-1107
Practice Fax: 607-257-0369

1205849981 — MARK A WERNHAM MS,PA-C
Practice Location Address:

1051 CRAFT RD
ITHACA, NY
14850-1016

Practice Phone: 607-257-1107
Practice Fax: 607-257-0369

1558437640 — MARIE HARKINS FNP-BC
Practice Location Address:

1020 CRAFT RD STE C
ITHACA, NY
14850-1016

Practice Phone: 607-339-0625
Practice Fax:

1023154549 — MS. PAULA FITZSIMMONS P.A.
Practice Location Address:

1020 CRAFT RD STE C
ITHACA, NY
14850-1016

Practice Phone: 607-339-0625
Practice Fax: 607-535-2714

1679609317 — JOSEPHINE C MCALLISTER MD
Practice Location Address:

1051 CRAFT RD
ITHACA, NY
14850-1016

Practice Phone: 607-257-1107
Practice Fax: 607-257-0369

1609170992 — DERMATOLOGY ASSOCIATES OF ITHACA, LLC
Practice Location Address:

1051 CRAFT RD
ITHACA, NY
14850-1016

Practice Phone: 607-257-1107
Practice Fax: 607-257-0369

Directions to “ DIANA MARIE STEPHENS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.