Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 194101 | NY |
NPI | 1326135492 |
---|---|
Provider Name | J Patrick Stuebgen |
First Address | New York, NY 10021-9800 |
Second Address | New York, NY 10021-9800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2006 |
Last Update Date | 28/05/2021 |