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Individual

DR. GEORGE O STASIOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
930 ALBANY SHAKER RD, SUITE 102, LATHAM, NY 12110-6412
(518) 220-1400
(518) 220-1404
Mailing address
930 ALBANY SHAKER RD, SUITE 102, LATHAM, NY 12110-6412
(518) 220-1400
(518) 220-1404

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
169776
NY

Other

Enumeration date
08/10/2006
Last updated
12/05/2013
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