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Individual

STEPHANIE A. ZYCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
826 WASHINGTON ST FL 3, WATERTOWN, NY 13601-4063
(315) 785-4000
(315) 788-3630
Mailing address
826 WASHINGTON ST FL 3, WATERTOWN, NY 13601-4063
(315) 785-4000
(315) 788-3630

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
325953
NY
207T00000X
Neurological Surgery Physician
35141842
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0442610
OH
05
07817196
NY
Enumeration date
04/30/2014
Last updated
02/26/2025
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