Organization
STEPHEN J. SILLS, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J SILLS M.D. (OWNER)
(518) 489-8409
Entity
Organization
Contact information
Practice address
317 S MANNING BLVD, SUITE 210, ALBANY, NY 12208-1738
(518) 489-8409
(518) 482-5162
Mailing address
317 S MANNING BLVD, SUITE 210, ALBANY, NE 12208-1738
(518) 489-8409
(518) 482-5162
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
090817
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00515095
—
NY
Enumeration date
06/04/2007
Last updated
08/22/2020
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