Joann C Stafford, | |
400 E Main St, Mount Kisco, NY 10549-3417 | |
(914) 666-1200 | |
Not Available |
Full Name | Joann C Stafford |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 400 E Main St, Mount Kisco, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679133102 | NPI | - | NPPES |
009354-1 | Other | NY | THE UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 009354-1 (New York) | Primary |
Provider Name | Ability Beyond Disability |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629148259 PECOS PAC ID: 1355366170 Enrollment ID: O20070328000087 |
Mailing Address | Practice Location Address |
---|---|
Joann C Stafford, 400 E Main St, Mount Kisco, NY 10549-3417 Ph: (914) 666-1200 | Joann C Stafford, 400 E Main St, Mount Kisco, NY 10549-3417 Ph: (914) 666-1200 |
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