STACEY A MUSCOLINO P.N.P.
NPI 1407917206
Nurse Practitioner - Pediatrics in Syracuse, NY

Active since December 13, 2006
151 INTREPID LN, SYRACUSE, NY 13205(315) 469-8191(315) 469-4482 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey A Muscolino P.n.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY A MUSCOLINO P.N.P. (NPI 1407917206) is an individual pediatrics provider in Syracuse, New York, licensed in New York (F381140-1) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1407917206
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSTACEY A MUSCOLINOCredential: P.N.P.
Location Address151 INTREPID LNSyracuse, NY 13205-2552
Mailing Address6420 Killoe RdBaldwinsville, NY 13027-9094 · (315) 635-0008
Fax(315) 469-4482
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1407917206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in NY · F381140-1
151 INTREPID LN, Syracuse, NY 13205

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
151 INTREPID LN
SYRACUSE, NY 13205
Nurse Practitioner (Pediatrics)
151 INTREPID LN
SYRACUSE, NY 13205
Pediatrics
151 INTREPID LN
SYRACUSE, NY 13205
Pediatrics
151 INTREPID LN
SYRACUSE, NY 13205
Pediatrics
151 INTREPID LN
SYRACUSE, NY 13205
Pediatrics
151 INTREPID LN
SYRACUSE, NY 13205
Pediatrics
151 INTREPID LN
SYRACUSE, NY 13205
Pediatrics
151 INTREPID LN
SYRACUSE, NY 13205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Muscolino's NPI number?

The NPI number for Stacey Muscolino is 1407917206. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Stacey Muscolino located?

Stacey Muscolino practices at 151 Intrepid Ln, Syracuse, NY 13205. The listed phone number is (315) 469-8191.

What is Stacey Muscolino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Stacey Muscolino was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.