Individual
VIRGINIA STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 SPENCER WAY, KINGS PARK, NY 11754-4032
(631) 275-8987
Mailing address
14 SPENCER WAY, KINGS PARK, NY 11754-4032
(631) 275-8987
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
262124-01
NY
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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