Individual
LYNDA STANISTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 TILLMAN ST, GENEVA, NY 14456-2417
(315) 230-4147
(315) 789-2499
Mailing address
24 TILLMAN ST, GENEVA, NY 14456-2417
(315) 230-4147
(315) 789-2499
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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