Individual
MS. STACEY JOHANNE VALCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10 UNION SQ E, NEW YORK, NY 10003-3314
(212) 844-8100
Mailing address
1 GUSTAVE L LEVY PL # 1118, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
30992-01
NY
Other
Enumeration date
03/10/2021
Last updated
09/15/2023
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