Individual
MS. STACIA STUDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4209 28TH ST, LONG ISLAND CITY, NY 11101-4130
(347) 396-4906
Mailing address
4209 28TH ST, LONG ISLAND CITY, NY 11101-4130
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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