Brosnan, Stacey

Brosnan, Stacey is an individual health care provider with primary practice located at 200 Pantigo Pl Ste N , East Hampton NY 11937-5923. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Brosnan, Stacey can be contacted via phone (631) 329-6500.

Contact Information

Primary practice address
200 Pantigo Pl Ste N East Hampton NY 11937-5923
Phone: (631) 329-6500
Fax: (631) 759-9429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 000345 New York
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X F360388 New York

Profile Details

NPI number 1194803510
LBN Legal business name Brosnan, Stacey
Credentials NP, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Feb 10th, 2026 - about 8 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194803510 NPPES
New York MEDICAID 1815732

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