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Individual
DR. JOHN JOSEPH STACHURA
Active
Individual
DR. JOHN JOSEPH STACHURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006675-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011175401
UNIVERA
NY
01
—
000610513001
COMMUITY BLUE
NY
01
—
0065581
GHI
NY
05
—
01111215
—
NY
Enumeration date
06/07/2006
Last updated
07/13/2026
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