Individual
DR. STEPHEN A ALBANESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6620 FLY ROAD, STE 200, EAST SYRACUSE, NY 13057
(315) 464-4472
(315) 464-5221
Mailing address
6620 FLY ROAD, STE 200, EAST SYRACUSE, NY 13057
(315) 464-4472
(315) 464-5221
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
146522
NY
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
146522
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00961959
—
NY
Enumeration date
06/13/2005
Last updated
11/25/2009
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