Individual
STANKO RODIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 COULTER ROAD, BEHAVIORAL HEALTH, CLIFTON SPRINGS, NY 14432
(315) 462-1465
(315) 462-0145
Mailing address
2 COULTER ROAD, CLIFTON SPRINGS HOSPITAL & CLINIC ATTN MED STAFF OFF, CLIFTON SPRINGS, NY 14432
(315) 462-1464
(315) 462-2487
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
125644
NY
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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