Individual
STACEY PERCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 UNION STREET, DRYDEN, NY 13053
(607) 844-8694
Mailing address
PO BOX 88, DRYDEN, NY 13053-0088
(607) 844-8694
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
793321
NY
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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