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Organization

SARAH A. STACKPOLE, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SARAH ALICE STACKPOLE M.D. (PRESIDENT)
(212) 249-9700
Entity
Organization

Contact information

Practice address
240 E 79TH ST, NEW YORK, NY 10075-1257
(212) 249-9700
(212) 585-2604
Mailing address
240 E 79TH ST, NEW YORK, NY 10075-1257
(212) 249-9700
(212) 585-2604

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
183489
NY

Other

Enumeration date
12/13/2007
Last updated
12/13/2007
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