Individual
PAUL STEFEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2432 N TRIPHAMMER RD, ITHACA, NY 14850-1014
(607) 272-0460
(607) 275-9739
Mailing address
2432 N TRIPHAMMER RD, ITHACA, NY 14850-1014
(607) 272-0460
(607) 275-9739
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
257760
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0690202
—
OH
01
—
ST0608822
MEDICARE ID
NY
Enumeration date
02/03/2006
Last updated
10/22/2012
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