1801930250 NPI number — PIA STAMPE P.T.

Table of content: PIA STAMPE P.T. (NPI 1801930250)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801930250 NPI number — PIA STAMPE P.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STAMPE
Provider First Name:
PIA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
P.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801930250
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
69 EDENFIELD RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PENFIELD
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14526-2917
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
585-427-7610
Provider Business Mailing Address Fax Number:
585-427-7410

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 METRO PARK
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14623-2610
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-427-7610
Provider Business Practice Location Address Fax Number:
585-427-7410
Provider Enumeration Date:
02/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  013400-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0000227031101 . This is a "ACN" identifier . This identifiers is of the category "OTHER".
  • Identifier: RC62013400 . This is a "RICPA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0000227031101 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7702292 . This is a "MVP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7907398 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 114358FT . This is a "PREFERRED CARE" identifier . This identifiers is of the category "OTHER".




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