Individual
STACY HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1190 5TH AVE, BOX 1028, NEW YORK, NY 10029-6503
(212) 241-9466
(212) 659-1621
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 241-9466
(212) 659-1521
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011315
NY
Other
Enumeration date
10/28/2008
Last updated
10/21/2020
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