National Provider Identifier
Stacy R Mack
Stacy R Mack is listed in the NPPES registry with a primary specialty of Driver in Rochester, NY and a listed phone number of (585) 704-0974.
Profile Overview
- NPI
- 1972367696
- Provider Type
- Individual
- Primary Specialty
- Driver
- Enumeration Date
- February 13, 2024
- Last Updated
- February 21, 2024
Practice Location
- 16 Atlee Drive
- Lower
- Rochester, NY 14626
Phone: (585) 704-0974
Mailing Address
- 1370 W Ridge RD # 1077
- Rochester, NY 14615-2418
Specialties
- Driver (172A00000X)
Full Record
- NPI
- 1972367696
- Entity Type
- Individual
- Last Name
- Mack
- First Name
- Stacy
- Middle Name
- R
- Mailing Street Address
- 1370 W Ridge RD # 1077
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14615-2418
- Mailing Country
- US
- Mailing Phone
- (585) 443-6688
- Practice Street Address
- 16 Atlee Drive
- Practice Address Line 2
- Lower
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626
- Practice Country
- US
- Practice Phone
- (585) 704-0974
- Enumeration Date
- February 13, 2024
- Last Updated
- February 21, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 21, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Driver (172A00000X)