Individual
NICHOLAS J STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 909-6900
Mailing address
100 WOODS RD FL 1, VALHALLA, NY 10595-1530
(914) 909-6900
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
123456789
NY
2086S0129X
Vascular Surgery Physician
Primary
390200000X
NY
Other
Enumeration date
04/04/2020
Last updated
08/01/2025
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