National Provider Identifier

Stanley Berrick Clifton III, D.O.

Stanley Berrick Clifton III, D.O. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Horseheads, NY and a listed phone number of (336) 918-3488.

NPI 1811341878Horseheads, NYInternal Medicine Physician

Profile Overview

NPI
1811341878
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
April 15, 2016
Last Updated
October 24, 2023

Practice Location

  • 48 Colonial Dr
  • Horseheads, NY 14845-8532

Phone: (336) 918-3488

Mailing Address

  • 98 Starr Farm RD
  • Burlington, VT 05408-1323

Specialties

  • Internal Medicine Physician (207R00000X)
  • Internal Medicine Physician (207R00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1811341878
Entity Type
Individual
Last Name
Clifton
First Name
Stanley
Middle Name
Berrick
Name Prefix
Dr.
Name Suffix
III
Credential
D.O.
Mailing Street Address
98 Starr Farm RD
Mailing City
Burlington
Mailing State
VT
Mailing ZIP Code
05408-1323
Mailing Country
US
Mailing Phone
(369) 183-4883
Practice Street Address
48 Colonial Dr
Practice City
Horseheads
Practice State
NY
Practice ZIP Code
14845-8532
Practice Country
US
Practice Phone
(336) 918-3488
Enumeration Date
April 15, 2016
Last Updated
October 24, 2023
Sex
Male
Sole Proprietor
Yes
Certification Date
October 24, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Internal Medicine Physician (207R00000X), Internal Medicine Physician (207R00000X), Student in an Organized Health Care Education/Training Program (390200000X)