MEDICARE: HOWARD STAHL

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	183500000X	Pharmacist	026027-1	NY

General Provider Information

NPI Number	:	1083710552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWARD STAHL

Provider Business Mailing Address
First Line	:	6114 RIVERDALE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10471-1009
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6114 RIVERDALE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10471-1009
Country	:	US
Telephone Number	:	718-884-7343
Fax Number	:

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

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	07/08/2007

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Directions to “ HOWARD STAHL ” Practice Location

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