Individual
KATY STAATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 VAN RENSSELAER DR, RENSSELAER, NY 12144-1491
(518) 396-3486
Mailing address
93 MAPLE AVE, SELKIRK, NY 12158-1707
(518) 852-1728
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
22 550806
NY
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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