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| Physician Last Name: | Hughes | |
| Physician First Name: | Stacey | |
| Physician Middle Name: | Diane | |
| Address: | 175 West 73rd Street New York, New York 10023 | |
| License Number: | 004967 | |
| License Type: | PA | |
| Year of Birth: | 1969 | |
| Effective Date: | 04/22/2004 | |
| Action Description for DOH Webpage: | Temporary surrender of license pursuant to New York State Public Health Law Section 230.13. | |
| Misconduct Description for DOH Webpage: | This action is not disciplinary in nature. | |
| License Limitations or Conditions for DOH Webpage: | ||
| Board Order: |
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