Individual
EMILY STAHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16616 JAMAICA AVE, JAMAICA, NY 11432-5364
(929) 249-4420
Mailing address
17 BEECHWOOD DR, LAWRENCE, NY 11559-1733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
061969
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/04/2020
Last updated
10/05/2021
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