MRS. STACY LYNN ENTIN, PHYSICIAN ASST.
Medical Practice at Grand Ave, East Massapequa, NY

License number
New York 009989-1
Category
Nursing
Type
Physician Assistant
License number
New York 009989-01
Category
Medical Practice
Type
Gynecology
Address
Address 2
79 Grand Ave, East Massapequa, NY 11758
203 Candee Ave, Sayville, NY 11782
Phone
(516) 798-3376
(516) 798-5882 (Fax)
(631) 750-5575
National Provider ID: 1851459820
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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