Provider Demographics
NPI:1780866988
Name:SERIO-PANARO, STACY ANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:STACY
Middle Name:ANN
Last Name:SERIO-PANARO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 SARAH CIR
Mailing Address - Street 2:
Mailing Address - City:SPENCERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14559-9592
Mailing Address - Country:US
Mailing Address - Phone:585-352-2079
Mailing Address - Fax:
Practice Address - Street 1:3181 CHILI AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-5409
Practice Address - Country:US
Practice Address - Phone:585-571-3980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-29
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047182183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY047182OtherPHARMACIST STATE LICENSE