Brendese, Stephen C.

Brendese, Stephen C. is an individual health care provider with primary practice located at 989 Route 146 Bldg 200, Clifton Park NY 12065-3646. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Brendese, Stephen C. can be contacted via phone (518) 383-0891.

Contact Information

Primary practice address
989 Route 146 Bldg 200 Clifton Park NY 12065-3646
Fax: (518) 383-1662
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1071318 New York

Profile Details

NPI number 1336202043
LBN Legal business name Brendese, Stephen C.
Credentials M.P.A-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jan 24th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336202043 NPPES
New York MEDICAID 03455956

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