Doctor Name: | MRS. STACIA A DOWNEY |
NPI Number: | 1356784862 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BS, MSED |
License Number: | 381929-1 |
Business Practice Address: | 16 Hackett St Selkirk, NY - 121581700 |
Business Phone Number: | 5187673414 |
Business Fax Number: | |
Mailing Address: | 16 Hackett St, SELKIRK |
State: | NY |
Postal Code: | 121581700 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/15/2013 |
NPI Last Update Date: | 04/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 381929-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |