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Contact Information

KATRINA R STIDHAM, MD
19 BRADHURST AVE STE 3100N
HAWTHORNE, NY10532-2140
 Phone: 914-693-7636
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for KATRINA R STIDHAM · (Female)

NPI # 1508952219
Status Active
Credentials MD
Entity Individual
Enumeration date 10/04/2006
Last updated 07/07/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 250862
Hospital affiliation(s)
  • WESTCHESTER MEDICAL CENTER - (Acute Care)
    100 WOODS RD
    VALHALLA, NY 10595
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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