Marotta, Stacy A

Marotta, Stacy A is an individual health care provider with primary practice located at 4 Coulter Rd , Clifton Springs NY 14432. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Marotta, Stacy A can be contacted via phone (315) 462-3571.

Contact Information

Primary practice address
4 Coulter Rd Clifton Springs NY 14432
Phone: (315) 462-3571
Fax: (315) 462-7478
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 304193 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F304193 New York

Profile Details

NPI number 1023121647
LBN Legal business name Marotta, Stacy A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jul 6th, 2023 - about 2 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 1023121647 NPPES
New York MEDICAID 02978590

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