Provider Demographics
NPI:1033385422
Name:MONIN, STACEY SCHLAFF (MSCCC)
Entity Type:Individual
Prefix:MS
First Name:STACEY
Middle Name:SCHLAFF
Last Name:MONIN
Suffix:
Gender:F
Credentials:MSCCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:893 PRINCETON RD
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-2029
Mailing Address - Country:US
Mailing Address - Phone:516-318-3799
Mailing Address - Fax:516-569-7726
Practice Address - Street 1:893 PRINCETON RD
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-2029
Practice Address - Country:US
Practice Address - Phone:516-318-3799
Practice Address - Fax:516-569-7726
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003571-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist