Provider Demographics
NPI:1154904498
Name:STAY WELL HEALTH PEDIATRICS NP AND FAMILY HEALTH NP PLLC
Entity type:Organization
Organization Name:STAY WELL HEALTH PEDIATRICS NP AND FAMILY HEALTH NP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:MARY ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:KATINAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-523-1869
Mailing Address - Street 1:85 E 10TH ST APT K
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-5457
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:85 E 10TH ST APT K
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-5457
Practice Address - Country:US
Practice Address - Phone:929-373-3715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care