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STACEY MAE PERROTTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1081 LONG POND RD STE 100, ROCHESTER, NY 14626-5002
(585) 371-6464
(585) 371-6464
Mailing address
1081 LONG POND RD STE 100, ROCHESTER, NY 14626-5002
(585) 371-6464
(585) 371-6464

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
404153
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404153-01
NY

Other

Enumeration date
07/18/2022
Last updated
03/25/2024
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