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NPI Code Detail

MEDICARE: DR. STANLEY FOX DO

MEDICARE: DR. STANLEY FOX DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician183279NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801897921
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STANLEY FOX DO
Provider Business Mailing Address
First Line : 346 GRAND AVE
Second Line :
City : JOHNSON CITY
State : NY
Zip : 13790-2580
Country : US
Telephone Number : 607-729-8156
Fax Number : 607-729-3982
Provider Business Practice Location Address
First Line : 179 RIVER ST
Second Line :
City : ONEONTA
State : NY
Zip : 13820-2239
Country : US
Telephone Number : 607-432-8477
Fax Number : 607-432-3150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 01/23/2012

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