Individual provider · Type 1 NPI
Stacy Wilson
Specialist · Oceanside, NY
NPI number
1396276747
Active
Practice location
189 Lake St
Oceanside, NY 11572-4212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
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 1396276747
Stacy Wilson's National Provider Identifier is 1396276747, issued on Mar 27, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oceanside, NY. The record was last updated on Mar 27, 2017.