Individual
BRITTANY VAN STAALDUINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 818-1234
Mailing address
723 BROADWAY, STATEN ISLAND, NY 10310-2833
(718) 494-2690
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
298508
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2015
Last updated
12/17/2021
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