COREY ALEXANDER STACK

LOCKPORT, NY
NPI1487447538
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2025-05-22
Last Update Date2025-05-22
Business Address
COREY ALEXANDER STACK PA
5801 S TRANSIT RD
LOCKPORT, NY 14094-5811
Phone number: 716-727-2018
Mailing Address
COREY ALEXANDER STACK PA
480 ABERDEEN RD
LEWISTON, NY 14092-1023
Phone number: 830-563-7390