National Provider Identifier
Diana Marie Stephens, MD
Diana Marie Stephens, MD is listed in the NPPES registry with a primary specialty of Dermatology Physician in Ithaca, NY and a listed phone number of (607) 339-0456.
Profile Overview
- NPI
- 1154687945
- Provider Type
- Individual
- Primary Specialty
- Dermatology Physician
- Enumeration Date
- April 05, 2012
- Last Updated
- October 06, 2018
Practice Location
- 1020 Craft RD Ste A
- Ithaca, NY 14850-1016
Phone: (607) 339-0456
Specialties
- Dermatology Physician (207N00000X)
Full Record
- NPI
- 1154687945
- Entity Type
- Individual
- Last Name
- Stephens
- First Name
- Diana
- Middle Name
- Marie
- Credential
- MD
- Mailing Street Address
- 1020 Craft RD Ste A
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1016
- Mailing Country
- US
- Mailing Phone
- (607) 339-0456
- Practice Street Address
- 1020 Craft RD Ste A
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1016
- Practice Country
- US
- Practice Phone
- (607) 339-0456
- Enumeration Date
- April 05, 2012
- Last Updated
- October 06, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dermatology Physician (207N00000X)