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Individual
MISS STACY LYNN KOVACS
Active
Individual
MISS STACY LYNN KOVACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010904
NY
Other
Enumeration date
04/26/2009
Last updated
12/18/2017
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