Individual provider · Type 1 NPI

Stacey Vaniyapurakal

Family Nurse Practitioner · New Hyde Park, NY

NPI number 1508742826 Active

Practice location

450 Lakeville Rd
New Hyde Park, NY 11042-1118

Mailing address

181 Linden St
Massapequa Park, NY 11762-1012

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X352579 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1508742826

Stacey Vaniyapurakal's National Provider Identifier is 1508742826, issued on Aug 13, 2025. 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 Aug 13, 2025.