Walker, Stanford Lee
Walker, Stanford Lee is an individual health care provider with primary practice located at South Brookhaven Health Center 365 East Main St, Patchogue NY 11772. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Walker, Stanford Lee can be contacted via phone (631) 854-1307.Contact Information
Primary practice address
South Brookhaven Health Center 365 East Main St
Patchogue NY 11772
Phone: (631) 854-1307
Fax: (631) 854-1310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 180556 | New York |
Profile Details
| NPI number | 1184633307 |
|---|---|
| LBN Legal business name | Walker, Stanford Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Feb 11th, 2017 - about 9 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 | 1184633307 | NPPES |
| New York | MEDICAID | 01153171 |
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