Individual provider · Type 1 NPI

Stacey A. Muscolino, P.N.P.

Pediatric Nurse Practitioner · Syracuse, NY

NPI number 1407917206 Active

Practice location

151 Intrepid Ln
Syracuse, NY 13205-2552

Fax (315) 469-4482

Mailing address

6420 Killoe Rd
Baldwinsville, NY 13027-9094

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF381140-1 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1407917206

Stacey A. Muscolino, P.N.P.'s National Provider Identifier is 1407917206, issued on Dec 13, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Syracuse, NY. The record was last updated on Jul 8, 2007.