Mack, Stacy R

Mack, Stacy R is an individual health care provider with primary practice located at 16 Atlee Drive Lower, Rochester NY 14626. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Mack, Stacy R can be contacted via phone (585) 704-0974.

Contact Information

Primary practice address
16 Atlee Drive Lower Rochester NY 14626
Phone: (585) 704-0974
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X 365956754 New York

Profile Details

NPI number 1972367696
LBN Legal business name Mack, Stacy R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2024
Last updated Feb 21st, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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