Stidham, Katrina Ruth

Stidham, Katrina Ruth is an sole proprietor health care provider with primary practice located at 19 Bradhurst Ave Ste 3100N , Hawthorne NY 10532-2140. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otology & Neurotology, which is considered as her primary health care specialty. Stidham, Katrina Ruth can be contacted via phone (914) 693-7636.

Contact Information

Primary practice address
19 Bradhurst Ave Ste 3100N Hawthorne NY 10532-2140
Phone: (914) 693-7636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 250862 New York

Profile Details

NPI number 1508952219
LBN Legal business name Stidham, Katrina Ruth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jul 7th, 2021 - about 4 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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