Individual provider · Type 1 NPI

Stephanie Nicole Livermore-Hale, PA-C

Physician Assistant · Syracuse, NY

NPI number 1710288741 Active

Practice location

4900 Broad Rd
Syracuse, NY 13215

Call (315) 492-5011 Map

Fax (315) 492-5320

Mailing address

8493 Pools Brook Rd
Kirkville, NY 13082-9503

Other practice locations

  • 750 E Adams St, Syracuse, NY 13210-2342 · (315) 464-5540

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X014286 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1710288741

Stephanie Nicole Livermore-Hale, PA-C's National Provider Identifier is 1710288741, issued on Nov 8, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Syracuse, NY. The record was last updated on Jan 6, 2023.