Grant, Stephen A

Grant, Stephen A 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 Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Grant, Stephen A can be contacted via phone (518) 383-0891.

Contact Information

Primary practice address
989 Route 146 Bldg.200 Clifton Park NY 12065-3646
Phone: (518) 383-0891
Fax: (518) 383-1662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 136171 New York

Profile Details

NPI number 1992711683
LBN Legal business name Grant, Stephen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jan 18th, 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 1992711683 NPPES
New York Other 000401094001 BSNENY
New York Other 10000802 BSNENY
New York MEDICAID 00884226 BSNENY
New York Other 08116 BSNENY
New York Other 47336 BSNENY
New York Other 071009000031 BSNENY
New York Other 200225 BSNENY
New York Other 7451113 BSNENY
New York Other 01V511 BSNENY

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