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STACEY ALISON MADOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 WESTAGE BUSINESS CTR DR STE 230, FISHKILL, NY 12524-2288
(845) 896-9864
(845) 896-4319
Mailing address
200 WESTAGE BUSINESS CTR DR STE 230, FISHKILL, NY 12524-2288
(845) 896-9864
(845) 896-4319

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
210556
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0162825
GHI PPO
NY
01
10043447
CDPHP
NY
01
3379505
AETNA
NY
01
364686
MOHAWK VALLEY PLAN
NY
01
3C3538
HEALTHNET
NY
01
5371659
AETNA-HMO
NY
01
663E81
BLUE CROSS
NY
01
79339
GHI HMO
NY
01
P1238987
OXFORD
NY
Enumeration date
10/04/2006
Last updated
05/16/2012
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