Individual
DR. JOEL IRWIN STAKOFSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
209 STEINWAY AVE, STATEN ISLAND, NY 10314-4820
(718) 698-2211
(718) 698-6289
Mailing address
209 STEINWAY AVE, STATEN ISLAND, NY 10314-4820
(718) 698-2211
(718) 698-6289
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
154757
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01841905
—
NY
Enumeration date
08/18/2006
Last updated
07/08/2007
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