Provider Demographics
NPI:1730435322
Name:DANIEL, STACY (MS, WHNP-BC, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:STACY
Middle Name:
Last Name:DANIEL
Suffix:
Gender:F
Credentials:MS, WHNP-BC, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 ELMWOOD CT
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-3226
Mailing Address - Country:US
Mailing Address - Phone:516-851-0317
Mailing Address - Fax:
Practice Address - Street 1:28 ELMWOOD CT
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-3226
Practice Address - Country:US
Practice Address - Phone:516-851-0317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-01
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY421086363LW0102X
NY346482363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health