Individual provider · Type 1 NPI

Mark Edward Stutzmann Jr., PA

Surgical Physician Assistant · New York, NY

NPI number 1487433991 Active · reactivated Jan 17, 2024

Practice location

100 E 77th St
New York, NY 10075-1850

Call (516) 384-9965 Map

Mailing address

9 W Oak Hill Dr
Oyster Bay, NY 11771-3908

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400X031347 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1487433991

Mark Edward Stutzmann Jr., PA's National Provider Identifier is 1487433991, issued on Sep 25, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on May 9, 2024.