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GONZALEZ STACEY ANNE AKA/DBA STACEY ANN GONZALEZ

Debarred entity

GONZALEZ STACEY ANNE AKA/DBA STACEY ANN GONZALEZ is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	GONZALEZ STACEY ANNE AKA/DBA STACEY ANN GONZALEZ · STACEY ANN GONZALEZ				[sources]
Birth date	1976-11-17				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
First name	STACEY				[sources]
ID Number	`00303849`				[sources]
Last name	GONZALEZ				[sources]
Middle name	ANN				[sources]
NPI	`1356667398`				[sources]
Sector	Nurse Practitioner-Adult Health				[sources]
Position	NURSE/NURSES AIDE (IND- LIC HC SERV PRO)				[sources]
Address	31 JAMES HAWKINS RD, MORICHES, NY 11955				[sources]
Last change	2026-01-06	Last processed	2026-01-07	First seen	2024-05-08

Sanctions
Country	Authority	Program	Start date	End date
United States	Department of Health and Human Services Office of Inspector General		2013-09-19	-

Medical providers deemed ineligible to participate in New York State's Medicaid program.

United States · OMIG

People and companies excluded from Federally funded health care programs

United States · OIG

Source data IDs: us-fed-excl-stacey-ann-gonzalez-11955-moriches · us-medny-32e819048128afb1c62e6d4be894dd6a5dbf82a7

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