Individual
CHANTEL DOCKSTADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 LINWOOD AVE, BUFFALO, NY 14209-1802
(716) 961-9412
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
290403
NY
207R00000X
Internal Medicine Physician
MD2021-0230
NM
208M00000X
Hospitalist Physician
Primary
MD2021-0230
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4831792
—
NY
Enumeration date
04/23/2013
Last updated
06/18/2025
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