Dean, Stacy A

Dean, Stacy A is an individual health care provider with primary practice located at 155 Lawn Ave , Buffalo NY 14207-1816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Dean, Stacy A can be contacted via phone (716) 875-2904.

Contact Information

Primary practice address
155 Lawn Ave Buffalo NY 14207-1816
Phone: (716) 875-2904
Fax: (716) 875-6717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 303149 New York

Profile Details

NPI number 1770540007
LBN Legal business name Dean, Stacy A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Sep 19th, 2018 - 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 1770540007 NPPES
New York Other 11239209 CAQH
New York Other 000560569003 CAQH
New York Other 9513169 CAQH
New York Other 040426002780 CAQH
New York Other 177021BJ CAQH
New York Other P00362240 CAQH

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