STACY JEAN NEISWONGER

LEWISTON, NY
NPI1033382809
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  304743)
Enumeration Date2008-04-11
Last Update Date2014-11-03
Business Address
-- STACY JEAN NEISWONGER ANP
5300 MILITARY RD
LEWISTON, NY 14092-1903
Phone number: 716-298-3782
Mailing Address
-- STACY JEAN NEISWONGER ANP
9 BIRDSONG CIR
EAST AMHERST, NY 14051-1650
Phone number: 716-572-6995