Individual
MR. STEFAN J FOSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 EMPIRE DR STE 204, RENSSELAER, NY 12144
(518) 283-6111
(518) 283-6161
Mailing address
2 EMPIRE DR, STE 204, RENSSELAER, NY 12144-5730
(518) 382-4550
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001863-1
NY
231H00000X
Audiologist
0018631
NY
231HA2400X
Assistive Technology Practitioner Audiologist
001863-1
NY
237600000X
Audiologist-Hearing Aid Fitter
001863-1
NY
Other
Enumeration date
10/15/2007
Last updated
07/09/2018
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