National Provider Identifier
Stacie Yazback
Stacie Yazback is listed in the NPPES registry with a primary specialty of Occupational Therapist in Rochester, NY and a listed phone number of (585) 922-4441.
Source: public NPPES record, last updated February 20, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1790318582
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- February 20, 2020
- Last Updated
- February 20, 2020
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3011
Phone: (585) 922-4441
Mailing Address
- 1425 Portland Ave Bldg 3
- Rochester, NY 14621-3095
Specialties
- Occupational Therapist (225X00000X)
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Full Record
- NPI
- 1790318582
- Entity Type
- Individual
- Last Name
- Yazback
- First Name
- Stacie
- Mailing Street Address
- 1425 Portland Ave Bldg 3
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3095
- Mailing Country
- US
- Mailing Phone
- (585) 922-4441
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3011
- Practice Country
- US
- Practice Phone
- (585) 922-4441
- Enumeration Date
- February 20, 2020
- Last Updated
- February 20, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 20, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)