Dr KIMBERLY M STACK is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017 from State University Of New York At Stony Brook, School Of Medicine.
CENTER FOR DISABILITY SERVICES, INC
314 S MANNING BLVD
ALBANY
NY
122081708
Tel: 5184375771
| Npi | 1366413536 |
| Pac Id | 2567502503 |
| Professional Enrollment Id | I20171121000990 |
| Last Name | STACK |
| First Name | KIMBERLY |
| Middle Name | M |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | CENTER FOR DISABILITY SERVICES, INC |
| Group Practice Pac Id | 5799685327 |
| Number Of Group Practice Members | 44 |
| Line 1 Street Address | 314 S MANNING BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ALBANY |
| State | NY |
| Zip Code | 122081708 |
| Phone Number | 5184375771 |
| Hospital Affiliation Ccn 1 | 330057 |
| Hospital Affiliation Lbn 1 | ST PETER'S HOSPITAL |
| Hospital Affiliation Ccn 2 | 330094 |
| Hospital Affiliation Lbn 2 | COLUMBIA MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | 330153 |
| Hospital Affiliation Lbn 3 | ELLIS HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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