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General NPI Number Information
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NPI Number | 1063556405
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Entity Type | Organization
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Legal Business Name | ANNE MARIE STILWELL, M.D., P.C.
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 03/02/2021
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Provider Practice Location Address
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Address Line | 45 MCCLEAN AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10305-4634
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Country | US
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Telephone | 718-448-6373
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Fax | 718-448-6648
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Provider Business Mailing Address
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Address Line | PO BOX 140057
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City | STATEN ISLAND
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State | NY
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Zip | 10314-0057
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Country | US
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Telephone | 718-448-6373
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Fax | 718-448-6648
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANNE MARIE STILWELL
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Credential | M.D.
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Telephone | 718-448-6373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 186024
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 241180
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 186024
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 186024
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License Number State | NY
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