SearchNew York164W00000X

Angelina Stupp

NPI 1750787230 · on the registry since 2014 · sole proprietor

Practice

Address
1142 County Route 3
Hannibal, NY 13074
Phone
(315) 806-7061

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-11-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York