Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 222106 | NY |
Y | 208600000X | Surgeon | 222106 | NY |
N | 2086S0102X | Surgical Critical Care | 222106 | NY |
NPI | 1316039019 |
---|---|
Provider Name | Dr. Melvin Stone |
First Address | New York, NY 10025-2623 |
Second Address | Bronx, NY 10461-1138 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 17/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02184458 | (05) | NY |