National Provider Identifier
Stacy Ellen Menna
Stacy Ellen Menna is listed in the NPPES registry with a primary specialty of Occupational Therapist in Canandaigua, NY and a listed phone number of (585) 394-1190.
Profile Overview
- NPI
- 1497819312
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- December 22, 2006
- Last Updated
- July 08, 2007
Practice Location
- 5415 N Bloomfield RD
- Canandaigua, NY 14424-7964
Phone: (585) 394-1190
Mailing Address
- 51 Tarwood Dr
- Rochester, NY 14606-5707
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1497819312
- Entity Type
- Individual
- Last Name
- Menna
- First Name
- Stacy
- Middle Name
- Ellen
- Mailing Street Address
- 51 Tarwood Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14606-5707
- Mailing Country
- US
- Practice Street Address
- 5415 N Bloomfield RD
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-7964
- Practice Country
- US
- Practice Phone
- (585) 394-1190
- Enumeration Date
- December 22, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)