Entin, Stacy Lynn

Entin, Stacy Lynn is an sole proprietor health care provider with primary practice located at 79 Grand Ave , Massapequa NY 11758. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Entin, Stacy Lynn can be contacted via phone (516) 798-3376.

Contact Information

Primary practice address
79 Grand Ave Massapequa NY 11758
Phone: (516) 798-3376
Fax: (516) 798-5882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 009989-1 New York
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 009989-01 New York

Profile Details

NPI number 1851459820
LBN Legal business name Entin, Stacy Lynn
Credentials PHYSICIAN ASST.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Oct 16th, 2015 - about 9 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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