Individual
DR. DONALD M STAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 ROBINSON AVE, C/O ORANGE RADIOLOGY ASSOCIATES, PC, NEWBURGH, NY 12550-3353
(845) 565-1989
(845) 863-0072
Mailing address
320 ROBINSON AVE, C/O ORANGE RADIOLOGY ASSOCIATES, P.C., NEWBURGH, NY 12550-3353
(845) 565-1989
(845) 863-0072
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
123804
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01433563
—
NY
01
—
P00330504
RAILROAD MEDICARE
NY
Enumeration date
03/10/2006
Last updated
08/27/2008
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