Individual
MS. KRISTIN MICHELLE STAWIARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
402 POTTER BLVD, BRIGHTWATERS, NY 11718-1830
(631) 894-5600
Mailing address
402 POTTER BLVD, BRIGHTWATERS, NY 11718-1830
(631) 894-5600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
316871
NY
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
316871
NY
207RC0000X
Cardiovascular Disease Physician
316871
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
06/01/2015
Last updated
05/23/2022
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