Organization
STEPHEN MASSIMI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN JOSEPH MASSIMI M.D. (MEDICAL DOCTOR / BUSINESS OWNER)
(203) 705-2350
Entity
Organization
Contact information
Practice address
1 BLACHLEY RD, STAMFORD, CT 06902-0002
(203) 705-2350
(203) 705-2924
Mailing address
PO BOX 626, GREAT RIVER, NY 11739-0626
(203) 705-2350
(203) 705-2924
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
255564
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831331388
NPI
CT
Enumeration date
04/22/2016
Last updated
11/01/2024
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