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Individual

DR. STACEY G JAFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
PLAZA DEL CASTILLO HEALTH CENTER, 1515 SOUTHERN BOULEVARD, BRONX, NY 10460
(718) 589-2440
Mailing address
PLAZA DEL CASTILLO HEALTH CENTER, 1515 SOUTHERN BOULEVARD, BRONX, NY 10460
(718) 589-2440

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
209959
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
209959
NY
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
209959
NY

Other

Enumeration date
05/27/2005
Last updated
08/26/2019
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