Individual
SUSAN M STOLTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3448 ROUTE 31, BALDWINSVILLE, NY 13027
(315) 622-6595
(315) 622-3298
Mailing address
251 SALINA MEADOWS PKWY STE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
382631
NY
363L00000X
Nurse Practitioner
465376
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113199704
—
TX
Enumeration date
02/22/2006
Last updated
11/09/2016
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