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Individual
DR. STACEY A CACCIOLA
Active
Individual
DR. STACEY A CACCIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
229060
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03040613
—
NY
Enumeration date
05/12/2006
Last updated
12/08/2025
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