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Individual

GREGORY SCOTT STEENCKEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
PO BOX 341, TULLY, NY 13159-0341
(315) 707-8050
(315) 227-0570
Mailing address
PO BOX 341, TULLY, NY 13159-0341
(315) 707-8050
(315) 227-0570

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
252198
NY
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
252198
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03091247
NY
Enumeration date
06/27/2008
Last updated
08/04/2025
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