Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 73938 | NY |
NPI | 1023364148 |
---|---|
Provider Name | Dr. Stanley Hyman |
First Address | Oceanside, NY 11572 |
Second Address | Oceanside, NY 11572 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2012 |
Last Update Date | 26/07/2012 |