Individual
DR. STEPHEN G HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1264 SAINT NICHOLAS AVE STE B, NEW YORK, NY 10033-7263
(718) 280-4188
(224) 235-4652
Mailing address
PO BOX 32, NORTHBROOK, IL 60065-0032
(224) 318-0118
(847) 919-4615
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
182239
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01441029
—
NY
05
—
7425601
—
NJ
Enumeration date
08/11/2006
Last updated
10/18/2018
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