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Stephanie Ellyse Tom, DO
Student in an Organized Health Care Education/Training Program in Syracuse, New York
NPI 1326789256

Stephanie Ellyse Tom is a Student in an Organized Health Care Education/Training Program based in Syracuse, NY. Stephanie Ellyse Tom practices in Syracuse, NY and has the professional credentials of DO. The NPI Number for Stephanie Ellyse Tom is 1326789256 and holds a License No. (New York).

The current practice location address for Stephanie Ellyse Tom is 750 E Adams St, Syracuse, NY and can be reached out via phone at 315-464-4357.

Location: 750 E Adams St, Syracuse, NY, 13206-3226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326789256
Provider Name
Stephanie Ellyse Tom
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
750 E Adams St, Syracuse, NY, 13206-3226
Phone Number
315-464-4357
Fax Number
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
750 E Adams St
City
Syracuse
State
New York
Zip
13210-2306
Phone Number
315-464-4357
Fax Number
person
Provider Business Mailing Address Details
Address
750 E Adams St
City
Syracuse
State
New York
Zip
13210-2306
Phone Number
315-464-4357
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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