person
Mr. Jonathan Stephens, PA-C
Surgical Physician Assistant in Albany, New York
NPI 1114535077

Jonathan Stephens is a Surgical Physician Assistant based in Brunswick, NY and is specialized in Surgical. Jonathan Stephens practices in Albany, NY and has the professional credentials of PA-C. The NPI Number for Jonathan Stephens is 1114535077 and holds a License No. 025354 (New York).

The current practice location address for Jonathan Stephens is 121 Everett Rd Ste 100, Albany, NY and can be reached out via phone at 518-489-2663 and via fax at 518-689-6106.

Location: 121 Everett Rd Ste 100, Albany, NY, 31520-1638
person
Provider Profile Details
NPI Number
1114535077
Provider Name
Jonathan Stephens
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
121 Everett Rd Ste 100, Albany, NY, 31520-1638
Phone Number
518-489-2663
Fax Number
518-689-6106
Provider Enumeration Date
07/16/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
025354 01 NY NYS LICENSE
institution
Provider Business Practice Location Address Details
Address
121 Everett Rd Ste 100
City
State
Zip
12205-1447
Phone Number
518-489-2663
Fax Number
518-689-6106
person
Provider Business Mailing Address Details
Address
121 Everett Rd Ste 100
City
State
Zip
12205-1447
Phone Number
518-489-2663
Fax Number
518-689-6106
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
025354 (New York)
Definition
Definition to come...
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