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1407917206
STACEY A MUSCOLINO
SYRACUSE, NY
NPI
1407917206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY F381140-1)
Enumeration Date
2006-12-13
Last Update Date
2007-07-08
Business Address
-- STACEY A MUSCOLINO P.N.P.
151 INTREPID LN
SYRACUSE, NY 13205-2552
Phone number: 315-469-8191
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Mailing Address
-- STACEY A MUSCOLINO P.N.P.
6420 KILLOE RD
BALDWINSVILLE, NY 13027-9094
Phone number: 315-635-0008
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