Organization Name: | STEC MD CLINIC PC |
NPI Number: | 1003167701 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HALINA STEC (PRESIDENT) |
Mailing Address: | 31 Strawberry Hill Ave Ste 104 Stamford |
State: | CT US |
Postal Code: | 069022681 |
Phone Number: | 9145897969 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2012 |
NPI Last Update Date: | 10/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 051359 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |