Blyskal, Stanley
Blyskal, Stanley is an sole proprietor health care provider with primary practice located at 126 E Main St Ste 1, East Islip NY 11730-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blyskal, Stanley can be contacted via phone (631) 581-0090.Contact Information
Primary practice address
126 E Main St Ste 1
East Islip NY 11730-2600
Phone: (631) 581-0090
Fax: (631) 581-2879
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 124015 | New York |
Profile Details
| NPI number | 1063443257 |
|---|---|
| LBN Legal business name | Blyskal, Stanley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Mar 25th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063443257 | NPPES |
| New York | MEDICAID | 00425489 |
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