Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | N0056721 | NY |
Y | 222Z00000X | Podiatrist | N0056721 | NY |
N | 213EP0504X | Public Medicine | N0056721 | NY |
N | 213EP1101X | Primary Podiatric Medicine | N0056721 | NY |
N | 111NR0200X | Radiology | N0056721 | NY |
N | 213ER0200X | Radiology | N0056721 | NY |
N | 2081S0010X | Sports Medicine | N0056721 | NY |
N | 213ES0000X | Sports Medicine | N0056721 | NY |
NPI | 1861472839 |
---|---|
Provider Name | Dr. Yolanda Stahl |
First Address | Merrick, NY 11566 |
Second Address | Merrick, NY 11566 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 02/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U81525 | (02) | NY |