STACEY MOUSAW CARPENTER

SYRACUSE, NY
NPI1619657137
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NY  404991)
Enumeration Date2023-07-19
Last Update Date2023-07-19
Business Address
STACEY MOUSAW CARPENTER PMHNP
301 PROSPECT AVE
SYRACUSE, NY 13203-1899
Phone number: 315-726-8600
Mailing Address
STACEY MOUSAW CARPENTER PMHNP
5465 ORANGEPORT RD UNIT 503
BREWERTON, NY 13029-1804
Phone number: 252-675-8887
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