Individual
MS. STEPHANIE JANE MACCONNELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
950 ROUTE 146, CLIFTON PARK, NY 12065-3667
(518) 373-1165
(518) 348-1849
Mailing address
218 CENTER ST, CORINTH, NY 12822-1102
(518) 654-6420
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
420497
NY
Other
Enumeration date
03/29/2006
Last updated
07/08/2007
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