Provider Demographics
NPI:1861424335
Name:LADAO, STELLA M (DC)
Entity type:Individual
Prefix:DR
First Name:STELLA
Middle Name:M
Last Name:LADAO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 RICHMOND HILL RD
Mailing Address - Street 2:EVOLUTION
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314
Mailing Address - Country:US
Mailing Address - Phone:718-370-7470
Mailing Address - Fax:718-370-2682
Practice Address - Street 1:77 RICHMOND HILL RD
Practice Address - Street 2:EVOLUTION
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314
Practice Address - Country:US
Practice Address - Phone:718-370-7470
Practice Address - Fax:718-370-2682
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009107111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor