Most Relevant Information
Provider Data
NPI Number: | 1003524901 |
Provider Name: | MAUREEN STABAK |
Entity Type: | Individual |
Taxonomy Code: | 222Q00000X |
Specialty: | Developmental Therapist |
License Number: | $$$$$$$$$ |
Most Important Dates
Enumeration Date: | 11/09/2022 |
Last Updated: | 11/17/2022 |
Provider Practice Location
5 TRIANGLE RD
LIBERTY
NY
127543368
Practice Location Phone/Fax
Phone: | 8457472580 |
Fax: |
Provider Mailing Location
3 WOODLAWN AVE
LIBERTY
NY
127541517
Provider Mailing Phone/Fax
Phone: | |
Fax: |