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Contact Information

MICHAEL STEPHAN
101 NICOLLS RD
STONY BROOK, NY11794-0001
 Phone: 631-689-8333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHAEL STEPHAN · (Male)

NPI # 1427609130
Status Active
Credentials
Entity Individual
Enumeration date 09/24/2019
Last updated 12/03/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 023935-01
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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