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Contact Information

STANFORD L WALKER, MD
SOUTH BROOKHAVEN HEALTH CENTER
365 EAST MAIN ST
PATCHOGUE, NY11772
 Phone: 631-854-1307
 Fax: 631-854-1310
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for STANFORD L WALKER · (Male)

NPI # 1184633307
Status Active
Credentials MD
Entity Individual
Enumeration date 08/05/2006
Last updated 02/11/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 180556
  • NY Medicaid 01153171
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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