Abbott, Stacey Lynn

Abbott, Stacey Lynn is an individual health care provider with primary practice located at 1555 Long Pond Rd , Rochester NY 14626-4122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Abbott, Stacey Lynn can be contacted via phone (585) 368-4006.

Contact Information

Primary practice address
1555 Long Pond Rd Rochester NY 14626-4122
Phone: (585) 368-4006
Fax: (585) 368-4009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 382806 New York

Profile Details

NPI number 1427563071
LBN Legal business name Abbott, Stacey Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2017
Last updated Apr 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427563071 NPPES
New York MEDICAID 05028973

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