MEDICARE: RENEE MARION STALKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	030939	NY

General Provider Information

NPI Number	:	1972432649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE MARION STALKER

Provider Business Mailing Address
First Line	:	PO BOX 14890
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12212-4890
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1270 BELMONT AVE
Second Line	:
City	:	SCHENECTADY
State	:	NY
Zip	:	12308-2104
Country	:	US
Telephone Number	:	518-382-4530
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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Directions to “ RENEE MARION STALKER ” Practice Location

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