Individual
MRS. STEPHANIE MOLDAVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(718) 904-3421
Mailing address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(718) 904-3421
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
000198
NY
Other
Enumeration date
09/12/2021
Last updated
09/12/2021
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