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Organization

ANNE MARIE STILWELL, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANNE MARIE STILWELL M.D. (PRESIDENT)
(718) 448-6373
Entity
Organization

Contact information

Practice address
45 MCCLEAN AVE, STATEN ISLAND, NY 10305-4634
(718) 448-6373
(718) 448-6648
Mailing address
PO BOX 140057, STATEN ISLAND, NY 10314-0057
(718) 448-6373
(718) 448-6648

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
186024
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
186024
NY
208VP0000X
Pain Medicine Physician
241180
NY
208VP0014X
Interventional Pain Medicine Physician
186024
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050052299
RAILROAD MEDICARE
NY
01
169990
ELDERPLAN
NY
01
186024
HIP
NY
01
4C1349
PHS
NY
01
5301821
GHI
NY
01
60303515
FIDELIS
NY
01
65J532
EMPIRE BC BS
NY
01
P428465
OXFORD
NY
Enumeration date
02/19/2007
Last updated
03/02/2021
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