Conrad, Stephen

Conrad, Stephen is an individual health care provider with primary practice located at 8721 4Th Ave , Brooklyn NY 11209-5109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Conrad, Stephen can be contacted via phone (718) 680-1500.

Contact Information

Primary practice address
8721 4Th Ave Brooklyn NY 11209-5109
Fax: (718) 680-5550
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 131431 New York

Profile Details

NPI number 1427018548
LBN Legal business name Conrad, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jun 15th, 2009 - about 15 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 1427018548 NPPES
New York MEDICAID 00676302

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