STACEY CORNELL

Specialist

Active Individual
NPI: 1447502810

Practice Address

100 SARATOGA VILLAGE BLVD
SUITE 35
Malta, NY 12020

Phone: (518) 899-9235

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 98606857 (NY)

Frequently Asked Questions

NPI 1447502810 is the National Provider Identifier for STACEY CORNELL, a Specialist provider located in Malta, NY. This NPI was enumerated on October 10, 2012.
STACEY CORNELL practices at 100 SARATOGA VILLAGE BLVD, SUITE 35, Malta, NY 12020.

Quick Facts

NPI
1447502810
Type
Individual
Enumerated
Oct 10, 2012
Last Updated
Oct 10, 2012

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