IndividualActive
Alan Stofenberg, OD
NPI 1114079753 · Optometrist · Hicksville, NY
Provider details
- NPI number
- 1114079753
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- NY3501 (NY)
Mailing address
19 Abbot Rd
Smithtown, NY 11787-2322
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2009-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.