Individual provider · Type 1 NPI

Stacey Anne Elconin

Specialist · Somers, NY

NPI number 1205609963 Active

Practice location

79 Mitchell Rd
Somers, NY 10589-1801

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X580471941 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1205609963

Stacey Anne Elconin's National Provider Identifier is 1205609963, issued on Nov 3, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Somers, NY. The record was last updated on Nov 3, 2023.