Italiano, Stacey

Italiano, Stacey is an individual health care provider with primary practice located at 1 Glen Way , Lake Grove NY 11755-2203. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Italiano, Stacey can be contacted via phone (613) 521-5137.

Contact Information

Primary practice address
1 Glen Way Lake Grove NY 11755-2203
Phone: (613) 521-5137
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 047174 New York

Profile Details

NPI number 1386217065
LBN Legal business name Italiano, Stacey
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2021
Last updated Jul 21st, 2021 - about 5 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.

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