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NPI Code Detail

MEDICARE: DR. GREGORY BORISOVICH STEPANETS MD

MEDICARE:  DR. GREGORY BORISOVICH STEPANETS  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
12084P0800XPsychiatry Physician223650-01NY

General Provider Information

NPI Number : 1801900634
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY BORISOVICH STEPANETS MD
Provider Business Mailing Address
First Line : 1600 7TH AVE STE 3
Second Line :
City : TROY
State : NY
Zip : 12180-3410
Country : US
Telephone Number : 518-270-2646
Fax Number : 518-270-2707
Provider Business Practice Location Address
First Line : 1641 3RD ST
Second Line :
City : RENSSELAER
State : NY
Zip : 12144-1539
Country : US
Telephone Number : 518-463-8869
Fax Number : 518-463-8733
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 04/26/2021

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Directions to “ DR. GREGORY BORISOVICH STEPANETS MD” Practice Location

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