Provider Demographics
NPI:1003832726
Name:ADALMAN, STEPHEN MORRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:MORRIS
Last Name:ADALMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:100 WALL ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-4812
Mailing Address - Country:US
Mailing Address - Phone:845-338-1085
Mailing Address - Fax:845-338-1011
Practice Address - Street 1:100 WALL ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-4812
Practice Address - Country:US
Practice Address - Phone:845-338-1085
Practice Address - Fax:845-338-1011
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY104800-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY57265100OtherORIGINAL MEDICARE ID
NY00182247Medicaid
NY57265100OtherORIGINAL MEDICARE ID