Stacie Damico, MSED
Specialist in Staten Island, New York
1316341498- Practice location
- 12 Pebble Ln, Staten Island, NY 10305-3776
- Phone
- 347-681-0845
- Fax
- —
- Last updated
- October 17, 2014
Stacie Damico is a Specialist based in Staten Island, NY. Stacie Damico practices in Staten Island, NY and has the professional credentials of MSED. The NPI Number for Stacie Damico is 1316341498 and holds a License No. 171m00000x (NY). The current practice location address for Stacie Damico is 12 Pebble Ln, Staten Island, NY 10305-3776 and can be reached out via phone at 347-681-0845.
Provider Profile Details
- NPI Number
- 1316341498
- Provider Name
- Stacie Damico
- Credential
- MSED
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 12 Pebble Ln, Staten Island, NY 10305-3776
- Phone Number
- 347-681-0845
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 17, 2014
- Last Update Date
- October 17, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Pebble Ln
Staten Island, NY 10305-3776 - City
- Staten Island
- State
- New York
- Zip
- 10305-3776
- Phone Number
- 347-681-0845
Provider Business Mailing Address Details
- Address
- 12 Pebble Ln
Staten Island, NY 10305-3776 - City
- Staten Island
- State
- NY
- Zip
- 10305-3776
- Phone Number
- 347-681-0845
License Information
- License Number
- 171m00000x
- License State
- NY
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Staten Island, NY
View all Specialists in Staten Island →Frequently Asked Questions
What is the NPI number of Stacie Damico, MSED?
The NPI number of Stacie Damico, MSED is 1316341498. It was assigned on October 17, 2014 and is currently active in the NPPES registry.
What is the specialty of Stacie Damico, MSED?
Stacie Damico, MSED is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 171m00000x.
Where does Stacie Damico, MSED practice?
The practice location is 12 Pebble Ln, Staten Island, NY 10305-3776. The office can be reached at 347-681-0845 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316341498 directly on the NPPES registry website.