Individual
MARIANNE L STALTERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M./NP
Contact information
Practice address
1656 CHAMPLIN AVE, OB CARE CENTER, NEW HARTFORD, NY 13413-1068
(315) 624-6241
(315) 624-6395
Mailing address
1656 CHAMPLIN AVE, OB CARE CENTER, NEW HARTFORD, NY 13413-1068
(315) 624-6241
(315) 624-6395
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
36 360394
NY
367A00000X
Advanced Practice Midwife
Primary
000765
NY
Other
Enumeration date
07/06/2006
Last updated
09/19/2016
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