Individual
STACEY M. BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
311 GREEN ST, SYRACUSE, NY 13203-2911
(315) 425-1431
(315) 425-1994
Mailing address
1001 W FAYETTE ST, STE 400, SYRACUSE, NY 13204-2859
(315) 472-1488
(315) 476-1792
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
381708
NY
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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