National Provider Identifier
Stephanie K Myricks
Stephanie K Myricks is listed in the NPPES registry with a primary specialty of Private Vehicle in Rochester, NY and a listed phone number of (585) 284-0687.
Profile Overview
- NPI
- 1740924026
- Provider Type
- Individual
- Primary Specialty
- Private Vehicle
- Enumeration Date
- April 23, 2022
- Last Updated
- April 23, 2022
Practice Location
- 25 Rosalind St
- Rochester, NY 14619-2121
Phone: (585) 284-0687
Specialties
- Private Vehicle (347C00000X)
Full Record
- NPI
- 1740924026
- Entity Type
- Individual
- Last Name
- Myricks
- First Name
- Stephanie
- Middle Name
- K
- Mailing Street Address
- 25 Rosalind St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14619-2121
- Mailing Country
- US
- Mailing Phone
- (585) 284-0687
- Practice Street Address
- 25 Rosalind St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14619-2121
- Practice Country
- US
- Practice Phone
- (585) 284-0687
- Enumeration Date
- April 23, 2022
- Last Updated
- April 23, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 23, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Private Vehicle (347C00000X)