Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD 098944 | NY |
Y | 208600000X | Surgeon | MD 098944 | NY |
NPI | 1013070697 |
---|---|
Provider Name | Dr. Alex Michael Stone |
First Address | Great Neck, NY 11021-1959 |
Second Address | Great Neck, NY 11021-1959 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2006 |
Last Update Date | 17/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C11410 | (02) | NY |