Individual
DR. STEPHEN WESLEY MUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 LINDEN OAKS, SUITE 200, ROCHESTER, NY 14625-2840
(585) 586-1600
(585) 586-7951
Mailing address
100 CHEESE FACTORY RD, HONEOYE FALLS, NY 14472-9303
(585) 586-1600
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
NY125762
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0789
BLUE SHIELD
NY
01
—
102249EW
PREFERRED CARE
NY
01
—
7479049
AETNA
—
01
—
P01025762
BLUE CHOICE
NY
Enumeration date
11/15/2006
Last updated
07/08/2007
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