Stacy Van Dam, is a
Speech-language Pathologist based in Highland Falls, New York. Stacy Van Dam is licensed to practice in New York (license number 021125-1) and her current practice location is
52 Mountain Ave, Highland Falls, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 446-4761.
NPI number for Stacy Van Dam is 1386913853 and her current mailing address is 52 Mountain Ave, Highland Falls, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386913853.
Healthcare Provider's Profile
Full Name | Stacy Van Dam |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 52 Mountain Ave, Highland Falls, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386913853
- Provider Enumeration Date: 12/29/2011
- Last Update Date: 12/29/2011
Medical Identifiers
Medical identifiers for Stacy Van Dam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386913853 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 021125-1 (New York) | 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 Van Dam 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 Van Dam, 52 Mountain Ave, Highland Falls, NY 10928-1303 Ph: (845) 446-4761 | Stacy Van Dam, 52 Mountain Ave, Highland Falls, NY 10928-1303 Ph: (845) 446-4761 |
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