Stakofsky, Joel Irwin
Stakofsky, Joel Irwin is an sole proprietor health care provider with primary practice located at 209 Steinway Ave , Staten Island NY 10314-4820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Stakofsky, Joel Irwin can be contacted via phone (718) 698-2211.Contact Information
Primary practice address
209 Steinway Ave
Staten Island NY 10314-4820
Phone: (718) 698-2211
Fax: (718) 698-6289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 154757 | New York |
Profile Details
| NPI number | 1396859583 |
|---|---|
| LBN Legal business name | Stakofsky, Joel Irwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396859583 | NPPES |
| New York | MEDICAID | 01841905 |
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