Individual
DR. STACEY K BAPTISTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
158 E MAIN ST, SUITE 2, HUNTINGTON, NY 11743-2988
(631) 271-2491
(631) 271-2608
Mailing address
158 E MAIN ST, SUITE 2, HUNTINGTON, NY 11743-2988
(631) 271-2491
(631) 271-2608
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
65006253
NY
213ES0000X
Sports Medicine Podiatrist
65006253
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
65006253
NY
Other
Enumeration date
05/15/2008
Last updated
09/11/2014
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