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

Mrs. Stacy Lynn Entin, PHYSICIANASST

Individual provider Physician Assistant · NPI 1851459820

Mrs. Stacy Lynn Entin, PHYSICIANASST is a Physician Assistant in Massapequa, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

79 Grand Ave
Massapequa, NY 11758
Phone: (516) 798-3376
Fax: (516) 798-5882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 009989-1 (NY)
Gynecology Physician Taxonomy 207VG0400X · Licence 009989-01 (NY)

Record details

NPI number1851459820
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASST
Sole proprietorYes
NPI enumeratedDecember 4, 2006
Last updated in NPPESOctober 16, 2015

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