Burt, Stacey A

Burt, Stacey A is an sole proprietor health care provider with primary practice located at 1376 River Rd , Binghamton NY 13901-5702. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Nursing Service Providers / School. Nursing Service Providers / Home Health is her primary health care specialty. Burt, Stacey A can be contacted via phone (607) 821-8739.

Contact Information

Primary practice address
1376 River Rd Binghamton NY 13901-5702
Phone: (607) 821-8739
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 402391-1 New York
Nursing Service Providers / School 163WS0200X 402391-1 New York

Profile Details

NPI number 1114202504
LBN Legal business name Burt, Stacey A
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2011
Last updated May 9th, 2023 - about last year

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 1114202504 NPPES
New York MEDICAID 1115202504

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