Provider Demographics
NPI:1861568966
Name:STOS, STANLEY J (DC)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:J
Last Name:STOS
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 1:7420 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-1912
Mailing Address - Country:US
Mailing Address - Phone:718-745-1565
Mailing Address - Fax:718-745-1540
Practice Address - Street 1:7420 10TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-1912
Practice Address - Country:US
Practice Address - Phone:718-745-1565
Practice Address - Fax:718-745-1540
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX4396111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX28471Medicare PIN