Tubridy, Stacey Ann
Tubridy, Stacey Ann is an sole proprietor health care provider with primary practice located at 1 Healthy Way , Oceanside NY 11572-1551. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Tubridy, Stacey Ann can be contacted via phone (516) 632-4194.Contact Information
Primary practice address
1 Healthy Way
Oceanside NY 11572-1551
Phone: (516) 632-4194
Fax: (516) 632-4195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 501898 | New York |
Profile Details
| NPI number | 1508045949 |
|---|---|
| LBN Legal business name | Tubridy, Stacey Ann |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2007 |
| Last updated | Mar 30th, 2015 - about 11 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 | 1508045949 | NPPES |
| New York | Other | P01289617 | RAILROAD MEDICARE |
| New York | Other | A400057588 | RAILROAD MEDICARE |
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