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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427062561 NPPES
New York MEDICAID 01402377

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