Stoutenburg, John Patrick

Stoutenburg, John Patrick is an individual health care provider with primary practice located at 100 Park St Cr Wood Cancer Center, Glens Falls NY 12801-4413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Stoutenburg, John Patrick can be contacted via phone (518) 926-6620.

Contact Information

Primary practice address
100 Park St Cr Wood Cancer Center Glens Falls NY 12801-4413
Fax: (518) 926-1954
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 225232 New York

Profile Details

NPI number 1306834411
LBN Legal business name Stoutenburg, John Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jun 29th, 2021 - about 3 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 1306834411 NPPES
New York MEDICAID 02667792
New York Other P00248124

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