Provider Demographics
NPI:1346427473
Name:GARY F STONES DPM
Entity Type:Organization
Organization Name:GARY F STONES DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:F
Authorized Official - Last Name:STONES
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:516-799-6616
Mailing Address - Street 1:566 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-5017
Mailing Address - Country:US
Mailing Address - Phone:516-799-6616
Mailing Address - Fax:516-799-6472
Practice Address - Street 1:566 BROADWAY
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-5017
Practice Address - Country:US
Practice Address - Phone:516-799-6616
Practice Address - Fax:516-799-6472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN0038101213E00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4245910001Medicare NSC
T51286Medicare UPIN