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GONZALEZ STACEY ANNE AKA/DBA STACEY ANN GONZALEZ

Debarred entity

GONZALEZ STACEY ANNE AKA/DBA STACEY ANN GONZALEZ is an entity of interest. It has not been found on international sanctions lists.

Type	Legal entity				[sources]
Name	GONZALEZ STACEY ANNE AKA/DBA STACEY ANN GONZALEZ				[sources]
Legal form	not available				[sources]
Country	United States of America				[sources]
ID Number	`00303849`				[sources]
NPI	`1356667398`				[sources]
Sector	Nurse Practitioner-Adult Health				[sources]
Status	not available				[sources]
Last change	2025-03-18	Last processed	2025-09-01	First seen	2024-09-02

Sanctions
Country	Authority	Program	Start date	End date
United States of America	New York State Office of the Medicaid Inspector General		2013-03-26	-

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

United States of America · OMIG

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