Individual
ARLENE STACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
265 BROADHOLLOW RD, MELVILLE, NY 11747-4833
(888) 722-2072
Mailing address
413 S 8TH ST, LINDENHURST, NY 11757-4614
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
576293-01
NY
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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