AUSTIN STACK

HUNTINGTON, NY
NPI1649880352
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2020-08-06
Last Update Date2021-12-15
Business Address
AUSTIN STACK PA-C
175 E MAIN ST STE 200
HUNTINGTON, NY 11743-2981
Phone number: 631-549-5700
Mailing Address
AUSTIN STACK PA-C
175 E MAIN ST
HUNTINGTON, NY 11743-2939
Phone number: 631-549-5700
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