Pecsenyicki, Stephen Michael

Pecsenyicki, Stephen Michael is an individual health care provider with primary practice located at 111 Colchester Ave , Burlington VT 05401-1473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Pecsenyicki, Stephen Michael can be contacted via phone (802) 847-3843.

Contact Information

Primary practice address
111 Colchester Ave Burlington VT 05401-1473
Fax: (802) 847-1481
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 231444 New York
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0420010920 Vermont

Profile Details

NPI number 1447275771
LBN Legal business name Pecsenyicki, Stephen Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1447275771 NPPES
New York MEDICAID 02524165
New York MEDICAID 1011434

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