Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacy Wilson

Individual provider Specialist · NPI 1396276747

Stacy Wilson is a Specialist in Oceanside, New York. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

189 Lake St
Oceanside, NY 11572-4212
Phone: (516) 880-5247
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1396276747
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2017
Last updated in NPPESMarch 27, 2017

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