Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY LYNN PETERSEN
Active Sole ProprietorSTACEY LYNN PETERSEN is a Hospice Care, Community Based healthcare provider located in YONKERS, New York. NPI 1861154874 is currently active in the NPPES registry. Verify at CMS.
Hospice Care, Community Based · YONKERS, NY
Registration Details
- NPI Number
- 1861154874
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 7, 2021 (4.8912266807692 yrs)
- Last Updated
- Oct 7, 2021
- License
-
NY000429189E (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
56 N BROADWAY2SYONKERS, NY, 107017036Browse NY providers · Browse ZIP 10701
- Phone
- 6463358979
- Primary Specialty
-
Hospice Care, Community Based
251J00000X
Other Hospice Care, Community Based Providers in YONKERS, NY
| Name | Credential | NPI |
|---|---|---|
| SOFIA REDZEPOSKI | — | 1942750013 |
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.