Individual
MISS MICHELLE P STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065
(212) 746-5454
Mailing address
40 GARWOOD CT N, GARFIELD, NJ 07026-3506
(201) 697-1013
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
94287401
NY
Other
Enumeration date
07/26/2025
Last updated
07/26/2025
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