Doctor Name: | DANIEL STEPHENS |
NPI Number: | 1053396192 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A. |
License Number: | 009237 |
Business Practice Address: | 2050 Route 22 Brewster, NY - 105095948 |
Business Phone Number: | 8452792323 |
Business Fax Number: | 8452782115 |
Mailing Address: | 2050 Route 22, Suite 101 BREWSTER |
State: | NY |
Postal Code: | 105095948 |
Phone Number: | 8452792323 |
Fax Number: | 8452782115 |
NPI Enumeration Date: | 12/13/2005 |
NPI Last Update Date: | 11/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 009237 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |