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Organization
STEPHEN CARSON PHYSICIAN ASSISTANT
Active
Organization
STEPHEN CARSON PHYSICIAN ASSISTANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN CARSON PA (OWNER)
(607) 316-1583
Entity
Organization
Contact information
Practice address
632 PLANK RD STE 103, CLIFTON PARK, NY 12065-4883
(518) 414-5706
(518) 309-6213
Mailing address
641 GROOMS RD # 186, CLIFTON PARK, NY 12065-5912
(607) 316-1583
(607) 316-1583
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/28/2025
Last updated
11/28/2025
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