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

Individual provider Physician Assistant · NPI 1588811988

Stacy Elizabeth Speicher, PA is a Physician Assistant in Syracuse, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

475 Irving Ave Ste 418
Syracuse, NY 13210-1756
Phone: (315) 475-3999
Fax: (315) 470-4014
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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 012955 (NY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1588811988
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 27, 2008
Last updated in NPPESMarch 10, 2023
Certification dateMarch 10, 2023

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