Dickson, Stephanie K

Dickson, Stephanie K is an individual health care provider with primary practice located at 590 Fishers Station Dr Suite 130, Victor NY 14564-9744. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Dickson, Stephanie K can be contacted via phone (585) 924-7207.

Contact Information

Primary practice address
590 Fishers Station Dr Suite 130 Victor NY 14564-9744
Phone: (585) 924-7207
Fax: (585) 924-7049
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 028881-1 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1093967432
LBN Legal business name Dickson, Stephanie K
Credentials D.P.T
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2008
Last updated Mar 4th, 2020 - about 5 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 1093967432 NPPES
New York Other 30-0213081 TAX ID

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