National Provider Identifier
Mary Joan Stang
Mary Joan Stang is listed in the NPPES registry with a primary specialty of Specialist in Niagara Falls, NY and a listed phone number of (716) 278-8180.
Profile Overview
- NPI
- 1548521552
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 06, 2012
- Last Updated
- June 06, 2012
Practice Location
- 1001 11Th St
- Niagara Falls, NY 14301-1201
Phone: (716) 278-8180
Mailing Address
- 1059 Castlebar Dr
- North Tonawanda, NY 14120-2970
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1548521552
- Entity Type
- Individual
- Last Name
- Stang
- First Name
- Mary Joan
- Mailing Street Address
- 1059 Castlebar Dr
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-2970
- Mailing Country
- US
- Practice Street Address
- 1001 11Th St
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14301-1201
- Practice Country
- US
- Practice Phone
- (716) 278-8180
- Enumeration Date
- June 06, 2012
- Last Updated
- June 06, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)