Stacey Antoski

Individual provider Active NPI Registered Nurse · East Greenbush, NY

NPI 1821920646 · NPPES record last updated Jun 3, 2026

Key facts

NPI
1821920646
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
583003 (NY)
Practice address
73A Troy Rd
East Greenbush, NY 12061-1310
Phone
(518) 449-1142
NPI assigned
Jun 3, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
583003NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 583003 NY Yes

Addresses

Primary practice location

73A Troy Rd
East Greenbush, NY 12061-1310

Mailing address

73A Troy Rd
East Greenbush, NY 12061-1310
Phone (518) 449-1142

Other providers in East Greenbush, NY

All providers in East Greenbush, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.