National Provider Identifier

Stacy Sidoti

Stacy Sidoti is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (585) 467-4567.

NPI 1205204005Rochester, NYSpecialist

Profile Overview

NPI
1205204005
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
September 10, 2015
Last Updated
September 10, 2015

Practice Location

  • 2011 Hudson Ave
  • Rochester, NY 14617-4303

Phone: (585) 467-4567

Specialties

  • Specialist (174400000X)
Full Record
NPI
1205204005
Entity Type
Individual
Last Name
Sidoti
First Name
Stacy
Mailing Street Address
2011 Hudson Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-4303
Mailing Country
US
Practice Street Address
2011 Hudson Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14617-4303
Practice Country
US
Practice Phone
(585) 467-4567
Enumeration Date
September 10, 2015
Last Updated
September 10, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)