Individual
DR. LILLIAN E STACHTIARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 FRANKLIN AVE, SUITE 111, GARDEN CITY, NY 11530-5806
(516) 741-7600
(516) 877-5006
Mailing address
520 FRANKLIN AVE, SUITE 111, GARDEN CITY, NY 11530-5806
(516) 741-7600
(516) 877-5006
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
186761
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01321659
—
NY
Enumeration date
08/31/2006
Last updated
03/15/2014
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