Individual provider · Type 1 NPI

Ethan Dean Stahl

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1457098071 Active

Practice location

234 E 149th St
Bronx, NY 10451-5504

Call (844) 692-4692 Map

Mailing address

256 Henry St Apt 4
Brooklyn, NY 11201-4653

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1457098071

Ethan Dean Stahl's National Provider Identifier is 1457098071, issued on May 16, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on May 16, 2022.