Individual
ROBIN STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, BOX 655, ROCHESTER, NY 14642
(585) 341-3015
Mailing address
601 ELMWOOD AVE BOX 665, ROCHESTER, NY 14642-0001
(585) 275-5321
(585) 730-6936
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
333008
NY
363L00000X
Nurse Practitioner
333008
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02396207
—
NY
Enumeration date
08/05/2006
Last updated
07/05/2023
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