Provider Demographics
NPI:1003808999
Name:HIGGINS, DONALD STONE JR (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:STONE
Last Name:HIGGINS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:113 HOLLAND AVE
Mailing Address - Street 2:NEUROLOGY SERVICE (127)
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3410
Mailing Address - Country:US
Mailing Address - Phone:518-626-6391
Mailing Address - Fax:518-626-6369
Practice Address - Street 1:113 HOLLAND AVE
Practice Address - Street 2:NEUROLOGY SERVICE (127)
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3410
Practice Address - Country:US
Practice Address - Phone:518-626-6391
Practice Address - Fax:518-626-6369
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1891522084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01353337Medicaid
NY01353337Medicaid
NYF28225Medicare UPIN