Healthcare Provider Details

I. General information

NPI: 1972875946
Provider Name (Legal Business Name): ALLAN I. STEMPLER, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2012
Last Update Date: 05/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 E SHORE RD SUITE 301
GREAT NECK NY
11023-2410
US

IV. Provider business mailing address

310 E SHORE RD SUITE 301
GREAT NECK NY
11023-2410
US

V. Phone/Fax

Practice location:
  • Phone: 516-829-6641
  • Fax: 516-829-3722
Mailing address:
  • Phone: 516-829-6641
  • Fax: 516-829-3722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number111744
License Number StateNY

VIII. Authorized Official

Name: DR. ALLAN I STEMPLER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 516-829-6641