Birdsall, Stacia Beth

Birdsall, Stacia Beth is an individual health care provider with primary practice located at 268 Canal St , New York NY 10013-3599. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Birdsall, Stacia Beth can be contacted via phone (212) 966-0228.

Contact Information

Primary practice address
268 Canal St New York NY 10013-3599
Phone: (212) 966-0228
Fax: (212) 966-9330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X F001385-1 New York

Profile Details

NPI number 1174629778
LBN Legal business name Birdsall, Stacia Beth
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 16th, 2019 - about 6 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 1174629778 NPPES
New York MEDICAID 03338112

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