Tiernan, Steven D

Tiernan, Steven D is an individual health care provider with primary practice located at 22670 Summit Dr Ste 3, Watertown NY 13601-7208. 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. Tiernan, Steven D can be contacted via phone (315) 755-2560.

Contact Information

Primary practice address
22670 Summit Dr Ste 3 Watertown NY 13601-7208
Phone: (315) 755-2560
Fax: (315) 755-2597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 009062 New York

Profile Details

NPI number 1437191277
LBN Legal business name Tiernan, Steven D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Aug 31st, 2015 - about 9 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 1437191277 NPPES
New York MEDICAID 03731160
New York MEDICAID 00354316

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