Provider Demographics
NPI:1194829770
Name:TITLE, STANLEY HOWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:HOWARD
Last Name:TITLE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:200 CENTRAL PARK SOUTH
Mailing Address - Street 2:APT 12B
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1442
Mailing Address - Country:US
Mailing Address - Phone:212-765-3727
Mailing Address - Fax:212-765-4417
Practice Address - Street 1:200 WEST 57TH ST
Practice Address - Street 2:STE 401
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10019-3211
Practice Address - Country:US
Practice Address - Phone:212-581-9532
Practice Address - Fax:212-765-4417
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2010-06-17
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Provider Licenses
StateLicense IDTaxonomies
NY084335208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
B88625Medicare UPIN