Individual
MRS. STACEY ANN TUBRIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
170 WILLIAM ST, NEW YORK, NY 10038-2612
(718) 757-4307
Mailing address
575 LEXINGTON AVE STE 300, NEW YORK, NY 10022-6102
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
501898
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A400057588
EMPIRE MEDICARE
NY
01
—
P01289617
RAILROAD MEDICARE
NY
Enumeration date
11/02/2007
Last updated
12/30/2024
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