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

Stacy Wilson

Individual provider Specialist · NPI 1396276747

Stacy Wilson is a Specialist in Oceanside, New York. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

189 Lake St
Oceanside, NY 11572-4212
Phone: (516) 880-5247
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1396276747
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2017
Last updated in NPPESMarch 27, 2017
Mailing address189 Lake St, Oceanside, NY 11572-4212

Other providers in Oceanside