Individual
STEPHEN C MACHNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10021-1850
(212) 434-2685
(212) 434-2253
Mailing address
PO BOX 52788, KNOXVILLE, TN 37950-2788
(865) 766-8800
(865) 766-8874
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
200824
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01952583
—
NY
01
—
703S11
EMPIRE BCBS
NY
05
—
8677808
—
NJ
Enumeration date
10/25/2006
Last updated
12/30/2010
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