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Contact Information

STACEY BOEHM
222 NASSAU BLVD
WEST HEMPSTEAD, NY11552-2220
 Phone: 516-287-6064
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for STACEY BOEHM · (Female)

NPI # 1609225788
Status Active
Credentials
Entity Individual
Enumeration date 06/08/2016
Last updated 06/08/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 6368211
Hospital affiliation(s)
  • PECONIC BAY MEDICAL CENTER - (Acute Care)
    1300 ROANOKE AVENUE
    RIVERHEAD, NY 11901
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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