National Provider Identifier
Martin Stallone Jr., MD/MBA
Martin Stallone Jr., MD/MBA is listed in the NPPES registry with a primary specialty of Hospitalist Physician in Ithaca, NY and a listed phone number of (607) 274-4189.
Profile Overview
- NPI
- 1295751782
- Provider Type
- Individual
- Primary Specialty
- Hospitalist Physician
- Enumeration Date
- July 15, 2006
- Last Updated
- July 09, 2012
Practice Location
- 101 Dates Dr
- Ithaca, NY 14850-1342
Phone: (607) 274-4189
Specialties
- Hospitalist Physician (208M00000X)
- Hospitalist Physician (208M00000X)
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1295751782
- Entity Type
- Individual
- Last Name
- Stallone
- First Name
- Martin
- Name Prefix
- Dr.
- Name Suffix
- Jr.
- Credential
- MD/MBA
- Mailing Street Address
- 101 Dates Dr
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1342
- Mailing Country
- US
- Mailing Phone
- (607) 274-4189
- Practice Street Address
- 101 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1342
- Practice Country
- US
- Practice Phone
- (607) 274-4189
- Enumeration Date
- July 15, 2006
- Last Updated
- July 09, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Hospitalist Physician (208M00000X), Hospitalist Physician (208M00000X), Internal Medicine Physician (207R00000X)