Provider Demographics
NPI:1720867880
Name:STADT, PASQUALINA ANNA
Entity type:Individual
Prefix:
First Name:PASQUALINA
Middle Name:ANNA
Last Name:STADT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PASQUALINA
Other - Middle Name:ANNA
Other - Last Name:VOLINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:9 MARBLE TER
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-2859
Mailing Address - Country:US
Mailing Address - Phone:845-214-4011
Mailing Address - Fax:
Practice Address - Street 1:41 E POST RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4607
Practice Address - Country:US
Practice Address - Phone:914-681-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-27
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY311521363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health