| Doctor Name: | MR. STEPHEN P BERWIND |
| NPI Number: | 1487755294 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSN NP |
| License Number: | F3303661 |
| Business Practice Address: | 791 W Genesee Street Rd Skaneateles, NY - 131529377 |
| Business Phone Number: | 3156857544 |
| Business Fax Number: | 3156857549 |
| Mailing Address: | 791 W Genesee Street Rd, SKANEATELES |
| State: | NY |
| Postal Code: | 131529377 |
| Phone Number: | 3156857544 |
| Fax Number: | 3156857549 |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 11/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F3303661 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |