STACEY A MUSCOLINO

SYRACUSE, NY
NPI1407917206
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY  F381140-1)
Enumeration Date2006-12-13
Last Update Date2007-07-08
Business Address
-- STACEY A MUSCOLINO P.N.P.
151 INTREPID LN
SYRACUSE, NY 13205-2552
Phone number: 315-469-8191
Mailing Address
-- STACEY A MUSCOLINO P.N.P.
6420 KILLOE RD
BALDWINSVILLE, NY 13027-9094
Phone number: 315-635-0008