Individual
DR. STACY HAUSMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
636 MICHELLE PL, VALLEY STREAM, NY 11581
(516) 361-0375
Mailing address
636 MICHELLE PL, VALLEY STREAM, NY 11581-3041
(516) 361-0375
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
250502
NY
208D00000X
General Practice Physician
Primary
250502
NY
363A00000X
Physician Assistant
006810
NY
Other
Enumeration date
07/21/2008
Last updated
10/20/2025
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