Individual
CHRISTOPHER S STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPAC
Contact information
Practice address
14 HUDSON AVENU, SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL, GLENS FALLS, NY 12801-4448
(518) 926-5600
(518) 926-5605
Mailing address
100 PARK STREET, GLENS FALLS HOSPITAL - CREDENTIALING, GLENS FALLS, NY 12801-4413
(518) 926-5924
(518) 926-6983
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0103371
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02770038
—
NY
Enumeration date
11/08/2006
Last updated
08/30/2021
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