Provider Demographics
NPI:1881956639
Name:PLAPINGER, STACEY SUE (MSED)
Entity type:Individual
Prefix:MS
First Name:STACEY
Middle Name:SUE
Last Name:PLAPINGER
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 LYNBROOK AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-4508
Mailing Address - Country:US
Mailing Address - Phone:917-282-2945
Mailing Address - Fax:
Practice Address - Street 1:63 LYNBROOK AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-4508
Practice Address - Country:US
Practice Address - Phone:917-282-2945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist