Basic Information
Provider Information
NPI: 1710930029
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STONE
FirstName: JOANNE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5 E 98TH ST
Address2: 2ND FLOOR BOX 1171
City: NEW YORK
State: NY
PostalCode: 100296501
CountryCode: US
TelephoneNumber: 2122415682
FaxNumber: 2123487438
Practice Location
Address1: 5 E 98TH ST
Address2: 2ND FLOOR
City: NEW YORK
State: NY
PostalCode: 100296501
CountryCode: US
TelephoneNumber: 2122416551
FaxNumber: 2123487438
Other Information
ProviderEnumerationDate: 05/18/2006
LastUpdateDate: 04/04/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VM0101X178146NYY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine

ID Information
IDTypeStateIssuerDescription
0134380605NY MEDICAID
109524901NYMSNYU HEALTH TOP TIER UHCOTHER
MT000125001NYSELECTROPRO, PPO,EPOOTHER
431992701NYAETNA,PPO,POS,EPO,INDEMNOTHER
NP64101NYOXFORD, FREEDOM,OX MEDICAOTHER
041188001NYCIGNA,PPO,HMO,INDEM/ULTRAOTHER
048534901NYAETNA, HMOOTHER
109524901NYUHC, HMO,POS,PPO,EPO,INDEOTHER


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