Provider Demographics
NPI:1669497855
Name:HANDLER, STANLEY D (MD)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:D
Last Name:HANDLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3510 JOHNSON AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1603
Mailing Address - Country:US
Mailing Address - Phone:718-601-8205
Mailing Address - Fax:718-601-8693
Practice Address - Street 1:3510 JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-1603
Practice Address - Country:US
Practice Address - Phone:718-601-8205
Practice Address - Fax:718-601-8693
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY092475207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00149220Medicaid
NY00149220Medicaid
NY903951Medicare ID - Type Unspecified