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
Phone: (518) 926-6620
Fax: (518) 926-1954
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306834411 | NPPES |
New York | MEDICAID | 02667792 | |
New York | Other | P00248124 |
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