STACEY B WALL

SYRACUSE, NY
NPI1427299197
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F300896)
Enumeration Date2009-03-10
Last Update Date2012-01-11
Business Address
-- STACEY B WALL N.P.
945 E GENESEE ST SUITE 200
SYRACUSE, NY 13210-1752
Phone number: 315-475-8401
Mailing Address
-- STACEY B WALL N.P.
945 E GENESEE ST SUITE 200
SYRACUSE, NY 13210-1752
Phone number: 315-475-8401
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