Individual
DR. JEFFREY A STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 E 98TH ST, BOX 1272, NEW YORK, NY 10029-6501
(212) 241-4812
Mailing address
5 E 98TH ST, 6TH FLOOR, NEW YORK, NY 10029-6501
(212) 241-4812
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
195605-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01798094
—
NY
Enumeration date
03/23/2006
Last updated
10/26/2012
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