SearchNew York261QA0006X

Stacey Osbourne

NPI 1588136303 · on the registry since 2018 · sole proprietor

Practice

Address
24311 147th Ave
Rosedale, NY 11422
Phone
(718) 470-2940

Registry record

Primary taxonomy
261QA0006X
261QA0006X
Also registered as
261QA0600X
261QA3000X
261QD1600X
261QM0801X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-12-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York