Individual
STACEY FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT
Contact information
Practice address
2201 HEMPSTEAD TURNPIKE, NASSAU UNIVERSITY MEDICAL CENTER, EAST MEADOW, NY 11554
(516) 571-6131
(516) 572-5793
Mailing address
2201 HEMPSTEAD TURNPIKE, NASSAU UNIVERSITY MEDICAL CENTER, EAST MEADOW, NY 11554
(516) 571-6131
(516) 572-5793
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07987
HOSPITAL ID#
—
Enumeration date
02/18/2009
Last updated
02/18/2009
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