Individual
STACY LOEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 1ST AVE, VZ30, 6TH FLOOR (612), NEW YORK, NY 10016-6402
(646) 754-2559
Mailing address
188 LUDLOW ST, 21H, NEW YORK, NY 10002-1598
(312) 493-6227
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
60262704
NY
Other
Enumeration date
07/02/2007
Last updated
02/19/2021
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