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

Individual provider Specialist · NPI 1316341498

Stacie Damico, MSED is a Specialist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
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Practice location Address checks out

12 Pebble Ln
Staten Island, NY 10305-3776
Phone: (347) 681-0845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 171M00000X (NY)

Record details

NPI number1316341498
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorYes
NPI enumeratedOctober 17, 2014
Last updated in NPPESOctober 17, 2014

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