STEPHANIE NICOLE LIVERMORE-HALE

SYRACUSE, NY
NPI1710288741
Former NameSTEPHANIE NICOLE LIVERMORE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  014286)
Enumeration Date2010-11-08
Last Update Date2023-01-06
Business Address
MS. STEPHANIE NICOLE LIVERMORE-HALE PA-C
4900 BROAD RD
SYRACUSE, NY 13215
Phone number: 315-492-5011
Mailing Address
MS. STEPHANIE NICOLE LIVERMORE-HALE PA-C
8493 POOLS BROOK RD
KIRKVILLE, NY 13082-9503
Phone number: 315-271-4325