Stacy Nicole Connolly, is a
Internal Medicine physician based in West Point, New York. Stacy Nicole Connolly is licensed to practice in Florida (license number 3069) and her current practice location is 900 Washington Rd, West Point, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 938-0628.
NPI number for Stacy Nicole Connolly is 1114624970 and her current mailing address is 900 Washington Rd, West Point, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114624970.
Physician's Profile
| Full Name | Stacy Nicole Connolly |
|---|
| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 900 Washington Rd, West Point, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114624970
- Provider Enumeration Date: 02/13/2023
- Last Update Date: 02/13/2023
Medical Identifiers
Medical identifiers for Stacy Nicole Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114624970 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 3069 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy Nicole Connolly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stacy Nicole Connolly,
900 Washington Rd,
West Point, NY 10996-1109
Ph: (845) 938-0628 | Stacy Nicole Connolly,
900 Washington Rd,
West Point, NY 10996-1109
Ph: (845) 938-0628 |
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