Michael Stephan
Michael Stephan is a Physician Assistant in Stony Brook, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2019
Practice location Address checks out
101 Nicolls RdStony Brook, NY 11794-0001
Phone: (631) 689-8333
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 023935-01 (NY) |
|---|
Record details
| NPI number | 1427609130 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 24, 2019 |
| Last updated in NPPES | December 3, 2019 |
| Mailing address | Po Box 1559, Stony Brook, NY 11790-0989 |
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