Stanley, George L
Stanley, George L is an individual health care provider with primary practice located at 819 S Salina St , Syracuse NY 13202-3536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Stanley, George L can be contacted via phone (315) 476-7921.Contact Information
Primary practice address
819 S Salina St
Syracuse NY 13202-3536
Phone: (315) 476-7921
Fax: (315) 474-1448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 208937 | New York |
Profile Details
| NPI number | 1043201973 |
|---|---|
| LBN Legal business name | Stanley, George L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Mar 30th, 2016 - about 10 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 | 1043201973 | NPPES |
| New York | MEDICAID | 01890720 |
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