Healthcare Provider Details

I. General information

NPI: 1932039294
Provider Name (Legal Business Name): STACEY VICIERE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1524 E 45TH ST
BROOKLYN NY
11234-3004
US

IV. Provider business mailing address

1524 E 45TH ST
BROOKLYN NY
11234-3004
US

V. Phone/Fax

Practice location:
  • Phone: 347-760-4030
  • Fax:
Mailing address:
  • Phone: 347-760-4030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberF359656
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: