STACY DERISTIN

BROOKLYN, NY
NPI1790622850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2026-04-29
Last Update Date2026-04-29
Business Address
STACY DERISTIN
2377 PACIFIC ST
BROOKLYN, NY 11233-6938
Phone number: 862-505-7044
Mailing Address
STACY DERISTIN
1414 E 103RD ST
BROOKLYN, NY 11236-4514
Phone number: 862-505-7044
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