STACY R MACK
NPI 1972367696
Driver in Rochester, NY
About Stacy R Mack NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY R MACK (NPI 1972367696) is an individual driver provider in Rochester, New York, licensed in New York (365956754) and active in the NPI registry since February 2024.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stacy Mack's NPI number?
The NPI number for Stacy Mack is 1972367696. It was assigned to this individual provider in the NPPES registry on February 13, 2024.
Where is Stacy Mack located?
Stacy Mack practices at 16 Atlee Drive Lower, Rochester, NY 14626. The listed phone number is (585) 704-0974.
What is Stacy Mack's specialty?
The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.
When was this NPI record last updated?
The NPPES record for Stacy Mack was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Stacy R Mack · NPI 1972367696
Driver provider in Rochester, New York. Individual provider, active in the CMS NPPES registry since February 13, 2024.
## Identity
- **NPI:** 1972367696 (Entity type: Individual)
- **Enumerated:** February 13, 2024
- **Primary specialty:** Driver · taxonomy 172A00000X
- **State license:** 365956754 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 16 ATLEE DRIVE, LOWER, Rochester, NY 14626
- **Phone:** (585) 704-0974
## Record status
- **NPPES last updated:** February 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1972367696) · Data from the CMS NPPES public registry.