Individual
MR. CHARLES B STACY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 E 98TH ST, 7TH FLOOR, NEW YORK, NY 10029-6501
(212) 241-0022
(212) 241-4350
Mailing address
5 E 98TH ST, 7TH FLOOR, NEW YORK, NY 10029-6501
(212) 241-0022
(212) 241-4350
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
137377
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NS1858
OXFORD
—
Enumeration date
09/01/2006
Last updated
05/22/2012
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