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Contact Information

JOAN M STACK, NP
1801 E MAIN ST
ROCHESTER, NY14609-7402
 Phone: 585-288-1390
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

363LS0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JOAN M STACK · (Female)

NPI # 1881765675
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 11/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 380332
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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