Individual
MRS. STACIE DEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FPMHNP-BC
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(516) 470-7000
Mailing address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(516) 470-7000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2275042
MA
Other
Enumeration date
08/28/2012
Last updated
11/13/2014
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