Provider Demographics
NPI:1255844585
Name:IGOR STILER, M.D., P.C.
Entity Type:Organization
Organization Name:IGOR STILER, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:STILER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-498-2020
Mailing Address - Street 1:1931 RICHMOND AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-3889
Mailing Address - Country:US
Mailing Address - Phone:718-331-3144
Mailing Address - Fax:718-256-4965
Practice Address - Street 1:1931 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-3889
Practice Address - Country:US
Practice Address - Phone:718-331-3144
Practice Address - Fax:718-256-4965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-08
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1660402084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty