Organization
ELWIN L STILLMAN, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELWIN L STILLMAN M.D. (OWNER)
(315) 376-5469
Entity
Organization
Contact information
Practice address
7785 N STATE ST, STE 330, LOWVILLE, NY 13367-1229
(315) 376-5469
(315) 376-6696
Mailing address
7785 N STATE ST, STE 330, LOWVILLE, NY 13367-1229
(315) 376-5469
(315) 376-6696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
124223
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00556038
—
NY
Enumeration date
10/01/2007
Last updated
10/01/2007
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