Provider Demographics
NPI:1811965080
Name:STONES, GARY F (DPM)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:F
Last Name:STONES
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN0038101213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DR6940OtherOXFORD HEALTH PLANS
NY0021049OtherGHI
0458381OtherAETNA
2C6354OtherHEALTHNET
NYP4136OtherEMPIRE BCBS
NY00924290Medicaid
480004311OtherMEDICARE RAILROAD
NYN003810N13OtherHEALTH FIRST
NY00924290Medicaid
NYP4136OtherEMPIRE BCBS
T51286Medicare UPIN