Stacy R Mack
Stacy R Mack is a Driver in Rochester, New York. Licensed in New York. Registered with an NPI since 2024.
- Licensed in
- NY
- In the registry since
- 2024
Practice location Address checks out
16 Atlee Dr LowrRochester, NY 14626
Phone: (585) 704-0974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence 365956754 (NY) |
|---|
Record details
| NPI number | 1972367696 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 13, 2024 |
| Last updated in NPPES | February 21, 2024 |
| Certification date | February 21, 2024 |
| Mailing address | 1370 W Ridge Rd # 1077, Rochester, NY 14615-2418 |
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