Dr KATRINA RUTH STIDHAM MD is a female medical professional, specializing in Otolaryngology. She graduated in 1993 from Duke University School Of Medicine.
ENT FACULTY PRACTICE LLP
1055 SAW MILL RIVER RD
SUITE 101
ARDSLEY
NY
105021050
Tel: 9146937636
| Npi | 1508952219 |
| Pac Id | 6507814670 |
| Professional Enrollment Id | I20090324000045 |
| Last Name | STIDHAM |
| First Name | KATRINA |
| Middle Name | RUTH |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | OTOLARYNGOLOGY |
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| Organization Legal Name | ENT FACULTY PRACTICE LLP |
| Group Practice Pac Id | 1759391956 |
| Number Of Group Practice Members | 23 |
| Line 1 Street Address | 1055 SAW MILL RIVER RD |
| Line 2 Street Address | SUITE 101 |
| Marker Of Address Line 2 Suppression | |
| City | ARDSLEY |
| State | NY |
| Zip Code | 105021050 |
| Phone Number | 9146937636 |
| Hospital Affiliation Ccn 1 | 330234 |
| Hospital Affiliation Lbn 1 | WESTCHESTER MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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