Individual
JAMIE STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2640 PITKIN AVE, BROOKLYN, NY 11208-2629
(719) 827-8700
Mailing address
2640 PITKIN AVE, BROOKLYN, NY 11208-2629
(719) 827-8700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
091130
NY
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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