Individual
STACEY BROSNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, CNM
Contact information
Practice address
200 PANTIGO PL STE N, EAST HAMPTON, NY 11937-5923
(631) 329-6500
(631) 759-9429
Mailing address
PO BOX 31218, HARTFORD, CT 06150-1218
(914) 328-4500
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
000345
NY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F360388
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1815732
—
NY
Enumeration date
11/02/2006
Last updated
02/10/2026
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