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Individual
KAREN A STANFORD
Active
Individual
KAREN A STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
222491
NY
208600000X
Surgery Physician
222491
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02473063
—
NY
Enumeration date
09/29/2006
Last updated
04/17/2019
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