Stillman, Michael Allen

Stillman, Michael Allen is an individual health care provider with primary practice located at 111 Bedford Rd , Katonah NY 10536-2115. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Stillman, Michael Allen can be contacted via phone (914) 232-3135.

Contact Information

Primary practice address
111 Bedford Rd Katonah NY 10536-2115
Phone: (914) 232-3135
Fax: (914) 242-1516
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 1012341 New York
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 1012341 New York

Profile Details

NPI number 1457325839
LBN Legal business name Stillman, Michael Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Mar 28th, 2008 - 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 1457325839 NPPES
New York MEDICAID 00492333

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