Stavis, Donald M

Stavis, Donald M is an individual health care provider with primary practice located at 320 Robinson Ave C/O Orange Radiology Associates, Pc, Newburgh NY 12550-3353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Stavis, Donald M can be contacted via phone (845) 565-1989.

Contact Information

Primary practice address
320 Robinson Ave C/O Orange Radiology Associates, Pc Newburgh NY 12550-3353
Phone: (845) 565-1989
Fax: (845) 863-0072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 123804 New York

Profile Details

NPI number 1235107541
LBN Legal business name Stavis, Donald M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Aug 27th, 2008 - about 16 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 1235107541 NPPES
New York MEDICAID 01433563
New York Other P00330504

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