Brenda Stafford
Specialist in New York, NY. Individual provider (NPI-1).
NPI number1093215212
StatusActive
Last updated in NPPESFeb 14, 2018
Details
- NPI
- 1093215212
- Entity type
- Individual (NPI-1)
- Name
- Brenda Stafford
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 14, 2018
- Last updated
- Feb 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
116 W 32nd St Fl 8New York, NY 10001-3212
Phone 212-564-2350
Mailing address
116 W 32nd St Fl 8New York, NY 10001-3212
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