| NPI Details | |
|---|---|
| NPI | 1427299197 |
| Gender | Female |
| Enumeration Date | 03/10/2009 |
| Last Updated | 01/11/2012 |
| Entity Type | Individual |
| Active | Over 8 years ago |
| Practice Location | |
|---|---|
| 945 E GENESEE ST SUITE 200 SYRACUSE NY, 13210-1752, US |
|
| Phone | (315) 475-8401 |
| Fax | (315) 475-0824 |
| Business Location | |
|---|---|
| 945 E GENESEE ST SUITE 200 SYRACUSE NY, 13210-1752, US |
|
| Phone | (315) 475-8401 |
| Fax | (315) 475-0824 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 363LA2200X |
| License State | New York |
| License Number | F300896 |
| Remove 1427299197 NPI Number | |
According to our database, Stacey B Wall N.P. NPI is 1427299197, taxonomy code is 363LA2200X and license number is F300896, license state is located at New York. Stacey B Wall N.P. physically located at 945 E Genesee St, Syracuse NY, 13210-1752. NPI Number Stacey B Wall N.P. has the Individual type.
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1427299197 NPI number is provided on an as is basis without warranty of any kind. 1427299197 is maintained by the National Plan & Provider Enumeration System. The contents of Stacey B Wall N.P. are for informational purposes only.
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