National Provider Identifier

Paul Stack

Paul Stack is listed in the NPPES registry with a primary specialty of School Social Worker in Rochester, NY and a listed phone number of (585) 467-3131.

NPI 1295561918Rochester, NYSchool Social Worker

Profile Overview

NPI
1295561918
Provider Type
Individual
Primary Specialty
School Social Worker
Enumeration Date
September 10, 2024
Last Updated
September 10, 2024

Practice Location

  • 950 Norton St
  • Rochester, NY 14621-3732

Phone: (585) 467-3131

Mailing Address

  • 1951 Seneca Ave
  • Rochester, NY 14617-4802

Specialties

  • School Social Worker (1041S0200X)
Full Record
NPI
1295561918
Entity Type
Individual
Last Name
Stack
First Name
Paul
Mailing Street Address
1951 Seneca Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-4802
Mailing Country
US
Practice Street Address
950 Norton St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3732
Practice Country
US
Practice Phone
(585) 467-3131
Enumeration Date
September 10, 2024
Last Updated
September 10, 2024
Sex
Male
Sole Proprietor
Yes
Certification Date
September 10, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
School Social Worker (1041S0200X)