Stachtiaris, Lillian E

Stachtiaris, Lillian E is an sole proprietor health care provider with primary practice located at 520 Franklin Ave Suite 111, Garden City NY 11530-5806. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Stachtiaris, Lillian E can be contacted via phone (516) 741-7600.

Contact Information

Primary practice address
520 Franklin Ave Suite 111 Garden City NY 11530-5806
Phone: (516) 741-7600
Fax: (516) 877-5006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 186761 New York

Profile Details

NPI number 1649382649
LBN Legal business name Stachtiaris, Lillian E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Mar 15th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649382649 NPPES
New York MEDICAID 01321659

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