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
Fax: (631) 581-2879
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063443257 NPPES
New York MEDICAID 00425489

Popular Providers