Individual
DR. JESSE ANDREW STOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 GLEN ST, SUITE 300, GLEN COVE, NY 11542-2855
(516) 759-4200
(516) 759-7600
Mailing address
PO BOX 640247, OAKLAND GARDENS, NY 11364-0247
(520) 241-1944
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
150159
NY
207Q00000X
Family Medicine Physician
150519
NY
Other
Enumeration date
10/25/2006
Last updated
01/07/2013
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