Individual
STACY MICHELE DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICIAN
Contact information
Practice address
5781 BRIDGE ST STE 32, EAST SYRACUSE, NY 13057-2944
(315) 314-6681
(315) 299-4590
Mailing address
5781 BRIDGE ST STE 32, EAST SYRACUSE, NY 13057-2944
(315) 314-6681
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C-005778-1
NY
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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