Individual provider · Type 1 NPI

Brian Khristopher Stackhouse, MD

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

NPI number 1871234989 Active

Practice location

376 Seguine Ave
Staten Island, NY 10309-3942

Call (718) 226-5976 Map

Fax (718) 226-2789

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 1871234989

Brian Khristopher Stackhouse, MD's National Provider Identifier is 1871234989, issued on Apr 5, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Staten Island, NY. The record was last updated on Apr 5, 2022.