DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACEY OSBOURNE

Active Sole Proprietor

STACEY OSBOURNE is a Ambulatory Fertility Facility healthcare provider located in ROSEDALE, New York. NPI 1588136303 is currently active in the NPPES registry. Verify at CMS.

Ambulatory Fertility Facility · ROSEDALE, NY

Registration Details

NPI Number
1588136303
Provider Type
Individual
Gender
Female
NPI Issued
Dec 18, 2018 (7.471167277409 yrs)
Last Updated
Dec 18, 2018
Sole Proprietor
Yes

Practice Information

Address
24311 147TH AVE
ROSEDALE, NY, 114222417
Browse NY providers · Browse ZIP 11422
Phone
7184702940
Primary Specialty
Ambulatory Fertility Facility
261QA0006X
Additional Specialty
Mental Health Clinic
Additional Specialty
Ambulatory Fertility Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.