Provider Demographics
NPI:1386005312
Name:GARLAND, STEPHANIE M (NP)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:M
Last Name:GARLAND
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:251 SALINA MEADOWS PARKWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13212
Mailing Address - Country:US
Mailing Address - Phone:315-464-2096
Mailing Address - Fax:315-464-2010
Practice Address - Street 1:6620 FLY ROAD
Practice Address - Street 2:SUITE 305
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057
Practice Address - Country:US
Practice Address - Phone:315-464-3938
Practice Address - Fax:315-464-5359
Is Sole Proprietor?:No
Enumeration Date:2016-03-18
Last Update Date:2022-05-24
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Provider Licenses
StateLicense IDTaxonomies
WI6844363LF0000X
NY339744363LF0000X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily