Individual provider · Type 1 NPI

Mary Ellen Stavitz, PNP

Pediatric Nurse Practitioner · Croton On Hudson, NY

NPI number 1740481696 Active

Practice location

35 S Riverside Ave, The Westchester M,edical Practice Pc
Croton On Hudson, NY 10520-2653

Fax (914) 271-2551

Mailing address

50 Dayton Lane, Suite 202, The Westchster Medical Practice Pc
Peekskill, NY 10566

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF380031 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1740481696

Mary Ellen Stavitz, PNP's National Provider Identifier is 1740481696, issued on May 29, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Croton On Hudson, NY. The record was last updated on Jul 18, 2013.