Provider Demographics
NPI:1629738570
Name:HYMAN STADLEN MD
Entity Type:Organization
Organization Name:HYMAN STADLEN MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HEAPHY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:914-482-4133
Mailing Address - Street 1:2 STOWE RD STE 1
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2582
Mailing Address - Country:US
Mailing Address - Phone:914-736-2273
Mailing Address - Fax:914-736-2511
Practice Address - Street 1:2 STOWE RD STE 1
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-2582
Practice Address - Country:US
Practice Address - Phone:914-736-2273
Practice Address - Fax:914-736-2511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-20
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty