Ethan Dean Stahl
Ethan Dean Stahl is a Student in an Organized Health Care Education/Training Program in Bronx, New York. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
234 E 149th StBronx, NY 10451-5504
Phone: (844) 692-4692
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1457098071 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 16, 2022 |
| Last updated in NPPES | May 16, 2022 |
| Certification date | May 16, 2022 |
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