| Doctor Name: | DR. ROBERT JOSEPH STABILE |
| NPI Number: | 1023205341 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | 006242 |
| Business Practice Address: | 336 Commack Rd Unit # 10 Deer Park, NY - 117295518 |
| Business Phone Number: | 6313920540 |
| Business Fax Number: | |
| Mailing Address: | 336 Commack Rd, Unit # 10 DEER PARK |
| State: | NY |
| Postal Code: | 117295518 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/01/2007 |
| NPI Last Update Date: | 10/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 006242 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |