John, Stafford D

John, Stafford D is an sole proprietor health care provider with primary practice located at 3435 70Th St , Jackson Heights NY 11372-1055. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. John, Stafford D can be contacted via phone (718) 651-9700.

Contact Information

Primary practice address
3435 70Th St Jackson Heights NY 11372-1055
Phone: (718) 651-9700
Fax: (718) 533-0264
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X
Other Service Providers / Specialist 174400000X 020469 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 020469 New York

Profile Details

NPI number 1508842261
LBN Legal business name John, Stafford D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2005
Last updated Dec 5th, 2014 - about 10 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 1508842261 NPPES
New York MEDICAID 01918556

Popular Providers