Individual
ANDREW J STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1226 E WATER ST, SYRACUSE, NY 13210-1155
(315) 478-4185
(315) 478-0840
Mailing address
100 METROPOLITAN PARK DR STE 100, LIVERPOOL, NY 13088-7112
(315) 870-9369
(312) 563-3721
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01091812B
IN
208800000X
Urology Physician
Primary
036-148679
IL
208800000X
Urology Physician
35086609
OH
208800000X
Urology Physician
4301117114
MI
208800000X
Urology Physician
MD-46076
IA
Other
Enumeration date
06/23/2006
Last updated
11/03/2023
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