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Stacy Shields Walters

NPI 1235463316 · on the registry since 2009

Practice

Address
18341 Elmira Ave
Saint Albans, NY 11412
Phone
(347) 760-0568

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-09-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York