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Individual

DR. STEPHEN MICHAEL FACTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-3060
(718) 918-4469
Mailing address
19 DAN BEARD LN, REDDING, CT 06896-1900

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
108706
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01114727
NY
Enumeration date
11/07/2006
Last updated
07/08/2007
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