Search › New York › 363A00000X
Stacy Entin, PHYSICIAN ASST
NPI 1851459820 · on the registry since 2006 · sole proprietor
Practice
- Address
- 79 Grand Ave
Massapequa, NY 11758 - Phone
- (516) 798-3376
- Fax
- (516) 798-5882
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 207VG0400X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-10-16
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