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
Fax: (914) 666-1002
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
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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