Individual
STEPHEN D NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 E GENESEE ST, PRESIDENTIAL PLAZA, SUITE 204, SYRACUSE, NY 13202-3130
(315) 475-9921
(315) 472-7103
Mailing address
600 E GENESEE ST, PRESIDENTIAL PLAZA, SUITE 204, SYRACUSE, NY 13202-3130
(315) 475-9921
(315) 472-7103
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
172971
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01190243
—
NY
01
—
52111B
MEDICARE PROVIDER
NY
Enumeration date
07/12/2006
Last updated
03/04/2008
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