Physician Assistant
Mrs. STACY ENTIN Physician Asst.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1851459820 · enumerated 2006-12-04 · record updated 2015-10-16. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 79 GRAND AVE, MASSAPEQUA, NY, 11758 (516) 798-3376 Fax (516) 798-5882 Google Maps Apple Maps OpenStreetMap
- Mailing address 203 CANDEE AVE, SAYVILLE, NY, 11782-3059 (631) 750-5575 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 009989-1 NY
- Obstetrics & Gynecology, Gynecology 207VG0400X · License 009989-01 NY
In this directory
Locations and evidence
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Practice location
MASSAPEQUA, NY, 11758
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.