Individual
KEVIN T STIMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
736 IRVING AVE, SYRACUSE, SYRACUSE, NY 13210-1687
(315) 470-7111
Mailing address
736 IRVING AVE, SYRACUSE, SYRACUSE, NY 13210-1687
(315) 470-7111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
287711
NY
Other
Enumeration date
05/28/2013
Last updated
03/24/2016
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