Individual
JUDITH STAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26 FIREMENS MEMORIAL DR, SUITE 120, POMONA, NY 10970-3553
(845) 362-5900
(845) 362-5348
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
124478
NY
Other
Enumeration date
06/23/2006
Last updated
02/06/2015
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