Individual
HANIA W STAWOWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
319 SOUTH MANNING BLVD, SUITE 201, ALBANY, NY 12208-1743
(518) 498-3296
(518) 489-4663
Mailing address
PO BOX 8915, ALBANY, NY 12208-0915
(518) 489-3296
(518) 489-4663
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
147043
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
147043
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01072691
—
NY
Enumeration date
08/31/2005
Last updated
12/21/2010
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