NPI 1083134589

Michele Lynn Stead, PHYSICIANASSISTANT

Practitioner Medical Physician Assistant New York City, NY

Practice location

Address: 662 West 168th Street, New York City, NY 10032
Phone: (845) 742-8128
Mailing address: 191 Grandview Ave, Nanuet, NY 10954-3120

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 020850-1 (NY)

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Registry record

NPI: 1083134589
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jun 2017
Record last updated: 26 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.