| David Stahl, Md | |
|
21 N Main St Middleport NY 14105-1027 | |
| (716) 735-7774 | |
| (716) 735-3036 |
| Full Name | David Stahl, Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 21 N Main St, Middleport, New York |
| Authorized Official Name and Position | David D Stahl (OWNER) |
| Authorized Official Contact | 7167357774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Stahl, Md 21 N Main St Middleport NY 14105-1027 Ph: (716) 735-7774 | David Stahl, Md 21 N Main St Middleport NY 14105-1027 Ph: (716) 735-7774 |
| NPI Number | 1548309446 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 08/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548309446 | NPI | - | NPPES |
| 00737173 | Medicaid | NY | |
| 0401199 | Other | NY | DAVE IH |
| 005084881 | Other | NY | DAVE WNY BC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 142618 (New York) | Primary |
Celeste Stahl Balaban, D.o, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 N Main St, Middleport, NY 14105 Phone: 716-735-7774 |