Individual
JOHN STAMATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 JERICHO TPKE, SYOSSET, NY 11791-4515
(516) 496-6558
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A195317
NY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
A195317
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
A195317
NY
208VP0000X
Pain Medicine Physician
Primary
A195317
NY
208VP0014X
Interventional Pain Medicine Physician
A195317
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01524529
—
NY
Enumeration date
06/24/2005
Last updated
12/15/2010
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