Individual
MRS. CATHERINE C STACK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1540 MAPLE RD, WILLIAMSVILLE, NY 14221-3647
(716) 568-6570
(716) 568-3012
Mailing address
3970 RIVER RD, YOUNGSTOWN, NY 14174-9738
(716) 745-7357
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F000820
NY
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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