Healthcare Provider Details

I. General information

NPI: 1255894317
Provider Name (Legal Business Name): ALEXANDER STABELL MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ALEX STABELL MD, PHD

II. Dates (important events)

Enumeration Date: 04/07/2019
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 YORK AVE
NEW YORK NY
10021-5304
US

IV. Provider business mailing address

1315 YORK AVE
NEW YORK NY
10021-5304
US

V. Phone/Fax

Practice location:
  • Phone: 646-962-8747
  • Fax:
Mailing address:
  • Phone: 646-962-8747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number309219
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: