Provider Demographics
NPI:1386714202
Name:STONE, DENISON JOHNSON (DC)
Entity type:Individual
Prefix:DR
First Name:DENISON
Middle Name:JOHNSON
Last Name:STONE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:476 N GREENBUSH RD STE 7
Mailing Address - Street 2:
Mailing Address - City:RENSSELAER
Mailing Address - State:NY
Mailing Address - Zip Code:12144-9424
Mailing Address - Country:US
Mailing Address - Phone:518-283-3220
Mailing Address - Fax:518-283-3307
Practice Address - Street 1:476 N GREENBUSH RD STE 7
Practice Address - Street 2:
Practice Address - City:RENSSELAER
Practice Address - State:NY
Practice Address - Zip Code:12144-9424
Practice Address - Country:US
Practice Address - Phone:518-283-3220
Practice Address - Fax:518-283-3307
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005660-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA0078Medicare ID - Type Unspecified
NYU26342Medicare UPIN