Individual
DANIEL STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2050 ROUTE 22, BREWSTER, NY 10509-5948
(845) 279-2323
(845) 278-2115
Mailing address
2050 ROUTE 22, SUITE 101, BREWSTER, NY 10509-5948
(845) 279-2323
(845) 278-2115
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009237
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00932783
—
NY
Enumeration date
12/13/2005
Last updated
11/21/2008
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