Individual
STACI EDMUNDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
161 MORTON BLVD, PLAINVIEW, NY 11803-5616
(407) 756-5067
Mailing address
161 MORTON BLVD, PLAINVIEW, NY 11803-5616
(407) 756-5067
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
673226-01
NY
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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