Provider Demographics
NPI:1326135492
Name:STUEBGEN, J PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:J
Middle Name:PATRICK
Last Name:STUEBGEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:520 EAST 70TH ST
Mailing Address - Street 2:#607
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-9800
Mailing Address - Country:US
Mailing Address - Phone:917-753-8969
Mailing Address - Fax:212-746-8742
Practice Address - Street 1:520 EAST 70TH ST
Practice Address - Street 2:#607
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-9800
Practice Address - Country:US
Practice Address - Phone:917-753-8969
Practice Address - Fax:212-746-8742
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2021-05-28
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Provider Licenses
StateLicense IDTaxonomies
NY1941012084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology