Provider Demographics
NPI:1972857936
Name:MS LEGACY, PC
Entity Type:Organization
Organization Name:MS LEGACY, PC
Other - Org Name:STEPPING STONES PSYCHIATRIC CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMAD ILYAS
Authorized Official - Middle Name:MS
Authorized Official - Last Name:SHAIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-221-7770
Mailing Address - Street 1:5857 LONGVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-1277
Mailing Address - Country:US
Mailing Address - Phone:412-221-7770
Mailing Address - Fax:412-221-7773
Practice Address - Street 1:80 EMERSON LN STE 1303
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-3472
Practice Address - Country:US
Practice Address - Phone:412-221-7770
Practice Address - Fax:412-221-7773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-30
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD425723251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty