Delva, Stacy
Delva, Stacy is an sole proprietor health care provider with primary practice located at 901 Merrick Rd , Copiague NY 11726-4903. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Delva, Stacy can be contacted via phone (631) 842-8096.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 064051 | New York |
Profile Details
| NPI number | 1194374082 |
|---|---|
| LBN Legal business name | Delva, Stacy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 4th, 2019 |
| Last updated | Sep 4th, 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 | 1194374082 | NPPES |
| New York | MEDICAID | 21260302 |
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