SearchNew York164W00000X

Stacey Cool

NPI 1942463120 · on the registry since 2008 · sole proprietor

Practice

Address
136 St Highway 331
St Johnsville, NY 13452
Phone
(518) 568-5960

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
2008-07-08

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