Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | F431862 | NY |
NPI | 1013592286 |
---|---|
Provider Name | Avital Stiefel |
First Address | Englewood, NJ 07631-5037 |
Second Address | New York, NY 10016-5802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2021 |
Last Update Date | 10/03/2021 |