Stacy St Phard
NPI #1013707355 in Valley Stream, New York
Provider Information
- NPI Number
- 1013707355
- Entity Type
- Individual
- Name
- Stacy St Phard
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 9, 2025
- Last Updated
- May 9, 2025
Practice Location
- Address
- 20 KALMIA LN
- City
- Valley Stream
- State
- New York
- ZIP Code
- 11581-2317
- Phone
- (917) 982-8201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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