Stauber, Stuart Lance

Stauber, Stuart Lance is an sole proprietor health care provider with primary practice located at 3415 31St Ave , Astoria NY 11106-1450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Stauber, Stuart Lance can be contacted via phone (718) 278-2727.

Contact Information

Primary practice address
3415 31St Ave Astoria NY 11106-1450
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 136356 New York

Profile Details

NPI number 1699773291
LBN Legal business name Stauber, Stuart Lance
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2005
Last updated Jan 7th, 2010 - about 14 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 1699773291 NPPES
New York MEDICAID 00759673

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