Smalley, Stacy M

Smalley, Stacy M is an individual health care provider with primary practice located at 258 High Ave , Nyack NY 10960-2407. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Other Service Providers / Midwife is her primary health care specialty. Smalley, Stacy M can be contacted via phone (845) 353-1441.

Contact Information

Primary practice address
258 High Ave Nyack NY 10960-2407
Phone: (845) 353-1441
Fax: (845) 353-1987
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X F001316-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X LNM000261 Connecticut
Other Service Providers / Midwife 176B00000X M002126 Arkansas

Profile Details

NPI number 1619909009
LBN Legal business name Smalley, Stacy M
Credentials CNM MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Sep 13th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619909009 NPPES
Other 26100 CONNECTICARE
Other 40LNM0261CT05 CONNECTICARE
Other P3644739 CONNECTICARE
Other 060967790 CONNECTICARE

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