| Stacey Ann Hirabayashi, NP | |
| 
					7901 Broadway, Elmhurst, NY 11373-1329  | |
| (347) 886-0095 | |
| (646) 615-5253 | 
| Full Name | Stacey Ann Hirabayashi | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Adult Health | 
| Location | 7901 Broadway, Elmhurst, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033668827 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | F307940-1 (New York) | Primary | 
| Entity Name | New York City Health And Hospitals Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1548208127 PECOS PAC ID: 4183535305 Enrollment ID: O20040322001521  | 
| Entity Name | Medical Director Services Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20160621000218  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Stacey Ann Hirabayashi, NP 7901 Broadway # D-124, Elmhurst, NY 11373-1329 Ph: (347) 886-0095  | Stacey Ann Hirabayashi, NP 7901 Broadway, Elmhurst, NY 11373-1329 Ph: (347) 886-0095  | 
Ms. Roshni Shah, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7901 Broadway # A1-19, Elmhurst, NY 11373 Phone: 718-334-3501 Fax: 718-334-5006  | |
Carlota Gabriel Antonio, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80th St & 41st Ave, Elmhurst, NY 11373 Phone: 718-334-2424 Fax: 718-334-5958  | |
Tenzin Chodon, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7901 Broadway # D1-05, Elmhurst, NY 11373 Phone: 718-334-2488 Fax: 718-334-5006  | |
Ms. Flordeliz Orticio Jorge, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80th St & 41st Ave, Elmhurst, NY 11373 Phone: 718-334-5970 Fax: 718-334-5958  | |
Ms. Sheung-chi Ng, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 79-01 Broadway, Managed Care, D1-01, Elmhurst, NY 11373 Phone: 718-334-1921 Fax: 718-334-5958  | |
Ms. Michelle Malesa Williams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80th St & 41st Ave, Elmhurst, NY 11373 Phone: 718-334-5970 Fax: 718-334-5958  | |
Magdalena Anna Zavala, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-4000  |