Provider Demographics
NPI:1841820750
Name:ARMINIO, STACY LYN (CNM)
Entity type:Individual
Prefix:MS
First Name:STACY
Middle Name:LYN
Last Name:ARMINIO
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 GUY PARK AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:AMSTERDAM
Mailing Address - State:NY
Mailing Address - Zip Code:12010-1056
Mailing Address - Country:US
Mailing Address - Phone:518-841-0373
Mailing Address - Fax:
Practice Address - Street 1:425 GUY PARK AVE STE 100
Practice Address - Street 2:
Practice Address - City:AMSTERDAM
Practice Address - State:NY
Practice Address - Zip Code:12010-1056
Practice Address - Country:US
Practice Address - Phone:518-841-0373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-20
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002002176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife