Cacciola, Stacey A

Cacciola, Stacey A is an individual health care provider with primary practice located at 94-98 Manhattan Avenue , Brooklyn NY 11206-2505. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Cacciola, Stacey A can be contacted via phone (718) 388-0390.

Contact Information

Primary practice address
94-98 Manhattan Avenue Brooklyn NY 11206-2505
Phone: (718) 388-0390
Fax: (718) 486-5741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 229060 New York
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 229060 New York

Profile Details

NPI number 1407807936
LBN Legal business name Cacciola, Stacey A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated May 29th, 2020 - about 4 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 1407807936 NPPES
New York MEDICAID 03040613

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