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

Stacy Deristin

Individual provider Case Manager/Care Coordinator · NPI 1790622850

Stacy Deristin is a Case Manager/Care Coordinator in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

2377 Pacific St
Brooklyn, NY 11233-6938
Phone: (862) 505-7044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (NY)

Record details

NPI number1790622850
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 29, 2026
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

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