Individual provider · Type 1 NPI
Stacey Ladusch, NP-
Family Nurse Practitioner · New Hyde Park, NY
NPI number
1114767340
Active
Practice location
1991 Marcus Ave Ste 102
New Hyde Park, NY 11042-2062
Mailing address
1 Bell Slip Apt 29G
Brooklyn, NY 11222-7640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 827629 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 352858 (NY) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1114767340
Stacey Ladusch, NP-'s National Provider Identifier is 1114767340, issued on May 27, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Hyde Park, NY. The record was last updated on May 27, 2024.