Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 207779 | NY |
Y | 207RP1001X | Pulmonary Disease | 207779 | NY |
NPI | 1073575981 |
---|---|
Provider Name | Dr. Richard L Stumacher |
First Address | Armonk, NY 10504-1930 |
Second Address | Bronx, NY 10457-2545 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 12/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01860035 | (05) | NY |
G72256 | (02) | NY |