Individual
DR. STACEY LYNNE CANTOR-ADKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
169551-1
NY
208D00000X
General Practice Physician
G 68191
CA
208D00000X
General Practice Physician
MD035961E
PA
208D00000X
General Practice Physician
MD34091
DC
Other
Enumeration date
10/16/2009
Last updated
12/11/2018
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