Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Martin Stallone Jr., MD/MBA

Individual provider Internal Medicine Physician · NPI 1295751782

Dr. Martin Stallone Jr., MD/MBA is an Internal Medicine Physician in Ithaca, New York. Licensed in Indiana, New York and Rhode Island. Registered with an NPI since 2006.

Licensed in
IN, NY, RI
In the registry since
2006
Specialties on file
3

Practice location Address checks out

101 Dates Dr
Ithaca, NY 14850-1342
Phone: (607) 274-4189
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 253091 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 01061023A (IN)
Hospitalist Physician Taxonomy 208M00000X · Licence 12340 (RI)

Record details

NPI number1295751782
Entity typeIndividual (Type 1)
GenderMale
Credentials MD/MBA
Sole proprietorNo
NPI enumeratedJuly 15, 2006
Last updated in NPPESJuly 9, 2012

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