Provider Information for 1962710038
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IAMINA D STOIAN
Sex: Female
NPI: 1962710038
Last Updated: 2010-09-22
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1962710038 | ||||||||
| Enumeration Date | 2010-09-22 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5676 RIVERDALE AVE BRONX, NY 10471-2138 United States Phone: 718-796-5300 | Fax:718-548-1161 | ||||||||
| Primary Practice Address | 5676 RIVERDALE AVE BRONX, NY 10471-2138 United States Phone: 718-796-5300 | Fax:718-548-1161 | ||||||||
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