Stafford, John R
Stafford, John R is an sole proprietor health care provider with primary practice located at 400 E Main St Northern Westchester Hospital 3Rd Floor, Mount Kisco NY 10549-3417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Stafford, John R can be contacted via phone (914) 666-1272.Contact Information
Primary practice address
400 E Main St Northern Westchester Hospital 3Rd Floor
Mount Kisco NY 10549-3417
Phone: (914) 666-1272
Fax: (914) 666-1002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 173853 | New York |
Profile Details
| NPI number | 1699769760 |
|---|---|
| LBN Legal business name | Stafford, John R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1699769760 | NPPES |
| Other | 0958352 | AETNA-HMO | |
| Other | 5C4323 | AETNA-HMO | |
| Other | 2695234 | AETNA-HMO | |
| Other | 10098634-T818 | AETNA-HMO | |
| Other | 0000000032942 | AETNA-HMO | |
| Other | WS408 | AETNA-HMO | |
| Other | 1IJ241 | AETNA-HMO | |
| Other | 4340420 | AETNA-HMO | |
| MEDICAID | 01141928 | AETNA-HMO | |
| Other | 376982 | AETNA-HMO |
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