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NPI Code Detail

MEDICARE: STANLEY DEFAY M.D.

MEDICARE: STANLEY DEFAY M.D.
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
1207L00000XAnesthesiology PhysicianMD-039409-EPA

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 : 1881695781
Entity Type Code : Individual
Provider Name (Legal Business Name) : STANLEY DEFAY M.D.
Provider Business Mailing Address
First Line : PO BOX 8000
Second Line : DEPARTMENT 431
City : BUFFALO
State : NY
Zip : 14267-0002
Country : US
Telephone Number : 201-804-2800
Fax Number :
Provider Business Practice Location Address
First Line : 105 NASON DR
Second Line :
City : ROARING SPRING
State : PA
Zip : 16673-1202
Country : US
Telephone Number : 814-224-2141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 07/08/2007

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