Individual
ANGEL S STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1045 JAMES ST STE 100, SYRACUSE, NY 13203-2758
(315) 472-4471
(315) 999-1377
Mailing address
843 ONONDAGA AVE, SYRACUSE, NY 13207-1830
(315) 450-7776
(315) 299-6731
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401833-1
NY
Other
Enumeration date
06/26/2015
Last updated
09/16/2024
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