Provider Demographics
NPI:1942467352
Name:STANAT, CHRISTY ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:ANN
Last Name:STANAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHRISTY
Other - Middle Name:ANN
Other - Last Name:ADAMSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5767 W CENTURY BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5631
Mailing Address - Country:US
Mailing Address - Phone:631-560-5027
Mailing Address - Fax:
Practice Address - Street 1:12 CASE ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2222
Practice Address - Country:US
Practice Address - Phone:860-204-9126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2018-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD444280208600000X
CAC149810208600000X
CT50908208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery