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General NPI Number Information
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NPI Number | 1972927358
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Entity Type | Organization
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Legal Business Name | HALINA STOLARCZYK
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Dates
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Enumeration Date | 02/06/2014
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Last Update Date | 02/06/2014
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Provider Practice Location Address
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Address Line | 1151 TITUS AVE LLE 10
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City | ROCHESTER
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State | NY
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Zip | 14617-4140
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Country | US
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Telephone | 585-544-5450
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Fax | 585-544-5752
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Provider Business Mailing Address
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Address Line | 1151 TITUS AVE LLE 10
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City | ROCHESTER
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State | NY
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Zip | 14617-4140
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Country | US
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Telephone | 585-544-5450
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Fax | 585-544-5752
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | GAIL FALCO
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Credential | CMC
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Telephone | 585-530-0904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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