Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 272470 | NY |
NPI | 1134103054 |
---|---|
Provider Name | Dr. Michael C Stoner |
First Address | Rochester, NY 14642-8410 |
Second Address | Rochester, NY 14623-1605 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2005 |
Last Update Date | 09/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03718696 | (05) | NY |
I38843 | (02) | NC |