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Contact Information

HOLLI STAYTON, FNP
9 OGDEN ST
ROOSEVELT SCHOOL BASED CLINIC
BINGHAMTON, NY13901
 Phone: 607-762-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for HOLLI STAYTON · (Female)

NPI # 1518904614
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 05/31/2006
Last updated 10/22/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 333114
  • NY Medicaid 02328765
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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