Organization
DCW PROVIDERS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELYN AMBER STONE MD (PRESIDENT)
(256) 280-7922
Entity
Organization
Contact information
Practice address
394 BROADWAY 3RD FLOOR, NEW YORK, NY 10013
(302) 570-4100
Mailing address
394 BROADWAY 3RD FLOOR, NEW YORK, NY 10013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
133N00000X
Nutritionist
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
176B00000X
Midwife
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VE0102X
Reproductive Endocrinology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
225100000X
Physical Therapist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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