Individual
AMANDA MICHELLE STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
315 S MANNING BLVD, ALBANY, NY 12208
(518) 525-1550
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
286788
NY
207V00000X
Obstetrics & Gynecology Physician
MT191628
PA
208M00000X
Hospitalist Physician
Primary
286788
NY
Other
Enumeration date
02/22/2008
Last updated
05/19/2021
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