Individual
STACY LYNN ADJEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 COUNTY ROUTE 49, SLATE HILL, NY 10973-3713
(845) 381-9641
Mailing address
162 E BROADWAY, MONTICELLO, NY 12701-8815
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
042608
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042608
—
NY
Enumeration date
01/16/2018
Last updated
04/01/2022
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