Individual
MEGAN STAUDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
95 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-7001
(845) 703-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4057
(845) 703-6999
(845) 703-6297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
023259
NY
363AS0400X
Surgical Physician Assistant
Primary
023259
NY
Other
Enumeration date
10/26/2018
Last updated
10/23/2020
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