# STACY CARTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ChiroCare of CNY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265159529
- **Authorized official:** STACY CARTER (OWNER)
- **Authorized official phone:** (315) 414-0866

## Contact information

- **Practice address:** 109 N MAIN ST, NORTH SYRACUSE, NY 13212-2167
- **Practice address phone:** (315) 414-0866
- **Mailing address:** PO BOX 2711, SYRACUSE, NY 13220-2711
- **Mailing address phone:** (315) 414-0866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | — | NULL | Yes |
| 111NN1001X | Nutrition Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2022
- **Last updated:** 10/26/2022