Abbott, Stacey Lynn
Abbott, Stacey Lynn is an individual health care provider with primary practice located at 1555 Long Pond Rd , Rochester NY 14626-4122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Abbott, Stacey Lynn can be contacted via phone (585) 368-4006.Contact Information
Primary practice address
1555 Long Pond Rd
Rochester NY 14626-4122
Phone: (585) 368-4006
Fax: (585) 368-4009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 382806 | New York |
Profile Details
| NPI number | 1427563071 |
|---|---|
| LBN Legal business name | Abbott, Stacey Lynn |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2017 |
| Last updated | Apr 15th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427563071 | NPPES |
| New York | MEDICAID | 05028973 |
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