Stambouly, Joseph John
Stambouly, Joseph John is an individual health care provider with primary practice located at 259 1St St , Mineola NY 11501-3957. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Stambouly, Joseph John can be contacted via phone (516) 663-2288.Contact Information
Primary practice address
259 1St St
Mineola NY 11501-3957
Phone: (516) 663-2288
Fax: (516) 663-8955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 181725 | New York |
Profile Details
| NPI number | 1427062561 |
|---|---|
| LBN Legal business name | Stambouly, Joseph John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427062561 | NPPES |
| New York | MEDICAID | 01402377 |
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