Dr. Stacey Lynne Cantor-Adkins, M.D.
Preventive Medicine, Public Health & General Preventive Medicine in New York, NY. Individual provider (NPI-1).
NPI number1417282906
StatusActive
Last updated in NPPESDec 11, 2018
Details
- NPI
- 1417282906
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stacey Lynne Cantor-Adkins
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 16, 2009
- Last updated
- Dec 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083P0901X | Preventive Medicine, Public Health & General Preventive Medicine | 169551-1 | NY | Yes |
| 208D00000X | General Practice | MD34091 | DC | |
| 208D00000X | General Practice | MD035961E | PA | |
| 208D00000X | General Practice | G 68191 | CA |
Other names
- Stacey Lynne Cantor-Adkins (Professional Name)
Practice location
430 East 86th Street#8a
New York, NY 10028-6436
Phone 202-997-0500
Mailing address
430 E 86th St#8a
New York, NY 10028-6441
Phone 202-997-0500 · Fax 212-452-0067
Other practice locations
27 Glen Rd
Sandy Hook, CT 06482-1193
Sandy Hook, CT 06482-1193
Phone 917-525-5025
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