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Individual

DR. STACY H SCHOENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
200 BROADHOLLOW ROAD, SUITE 207, MELVILLE, NY 11747
(631) 707-2394
(631) 824-9118
Mailing address
200 BROADHOLLOW RD STE 207, MELVILLE, NY 11747-4806
(631) 707-2394
(631) 824-9118

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402177-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
08/01/2017
Last updated
07/10/2023
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