Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 006242 | NY |
NPI | 1023205341 |
---|---|
Provider Name | Dr. Robert Joseph Stabile |
First Address | Deer Park, NY 11729-5518 |
Second Address | Deer Park, NY 11729-5518 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2007 |
Last Update Date | 20/10/2008 |