Staci Baranov
Staci Baranov is a Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2019.
- Licensed in
- NY
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
731 Lexington AveNew York, NY 10022-1331
Phone: (844) 407-7557
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 024985 (NY) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1366097180 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 8, 2019 |
| Last updated in NPPES | May 7, 2024 |
| Certification date | May 7, 2024 |
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