Individual
STACEY BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 NASSAU BLVD, WEST HEMPSTEAD, NY 11552-2220
(516) 287-6064
Mailing address
222 NASSAU BLVD, WEST HEMPSTEAD, NY 11552-2220
(516) 287-6064
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6368211
NY
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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