Individual
REBECCA L STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
41 MAPLE RD, WILLIAMSVILLE, NY 14221-2918
(716) 631-1045
(716) 631-1365
Mailing address
41 MAPLE RD, WILLIAMSVILLE, NY 14221-2918
(716) 631-1045
(716) 631-1365
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F4204171
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
F4204171
NY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
F4204171
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026499802
UNIVERA ID #
NY
01
—
000560321003
BC/BS WNY ID#
NY
05
—
01917986
—
NY
01
—
9512001
IHA PROVIDER #
NY
Enumeration date
09/26/2005
Last updated
09/04/2009
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