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EBONIE STACY
NPI 1295523538
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since April 28, 2025
126 E 53RD ST, BROOKLYN, NY 11203(516) 787-5108 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ebonie Stacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONIE STACY (NPI 1295523538) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1295523538
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEBONIE STACY
Location Address126 E 53RD STBrooklyn, NY 11203-2550
Mailing Address126 E 53rd StBrooklyn, NY 11203-2550 · (516) 787-5108
Phone(516) 787-5108
Sole ProprietorYes
Enumeration DateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1295523538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
126 E 53RD ST, Brooklyn, NY 11203
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Other Names 1

Former Name (1)Ebonie Mickens

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebonie Stacy's NPI number?

The NPI number for Ebonie Stacy is 1295523538. It was assigned to this individual provider in the NPPES registry on April 28, 2025. The provider is also known as Ebonie Mickens.

Where is Ebonie Stacy located?

Ebonie Stacy practices at 126 E 53rd St, Brooklyn, NY 11203. The listed phone number is (516) 787-5108.

What is Ebonie Stacy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ebonie Stacy was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.