| Doctor Name: | DR. STACEY LYNNE CANTOR-ADKINS |
| NPI Number: | 1417282906 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | MD34091 |
| Business Practice Address: | 430 East 86th Street #8a New York, NY - 100286436 |
| Business Phone Number: | 2029970500 |
| Business Fax Number: | |
| Mailing Address: | 430 E 86th St, #8a NEW YORK |
| State: | NY |
| Postal Code: | 100286441 |
| Phone Number: | 2029970500 |
| Fax Number: | 2124520067 |
| NPI Enumeration Date: | 10/16/2009 |
| NPI Last Update Date: | 01/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD34091 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |