Crilly, Stacy Anne

Crilly, Stacy Anne is an individual health care provider with primary practice located at 55 Horizon Dr. , Huntington NY 11743. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Crilly, Stacy Anne can be contacted via phone (631) 920-8088.

Contact Information

Primary practice address
55 Horizon Dr. Huntington NY 11743
Phone: (631) 920-8088
Fax: (631) 920-8166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 22618671 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 401750 New York

Profile Details

NPI number 1104848027
LBN Legal business name Crilly, Stacy Anne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 28th, 2014 - about 10 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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