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Individual

KATHERINE H STAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPA-C, RD

Contact information

Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-0100
Mailing address
PO BOX 655, GREENLAWN, NY 11740-0655
(516) 241-8837

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
013728
NY

Other

Enumeration date
03/09/2010
Last updated
03/09/2010
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