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Organization
YOLANDA STAHL DPM PC
Active
Organization
YOLANDA STAHL DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOLANDA STAHL DPM (DOCTOR)
(576) 379-0815
Entity
Organization
Contact information
Practice address
1457 MERRICK AVE, MERRICK, NY 11566
(576) 379-0815
(576) 379-0872
Mailing address
1457 MERRICK AVE, MERRICK, NY 11566
(576) 379-0815
(576) 379-0872
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N0056720
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
N005672
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02D88306
—
NY
Enumeration date
06/05/2014
Last updated
08/07/2014
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