Sarmiento, Stacey A

Sarmiento, Stacey A is an sole proprietor health care provider with primary practice located at 2211 Lyell Ave Ste 103, Rochester NY 14606-5743. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Sarmiento, Stacey A can be contacted via phone (585) 426-4460.

Contact Information

Primary practice address
2211 Lyell Ave Ste 103 Rochester NY 14606-5743
Fax: (585) 426-4475
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N005343 New York

Profile Details

NPI number 1912902909
LBN Legal business name Sarmiento, Stacey A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Oct 11th, 2011 - about 13 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912902909 NPPES
New York MEDICAID 01799224

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