Provider Demographics
NPI:1972927358
Name:HALINA STOLARCZYK
Entity Type:Organization
Organization Name:HALINA STOLARCZYK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:FALCO
Authorized Official - Suffix:
Authorized Official - Credentials:CMC
Authorized Official - Phone:585-530-0904
Mailing Address - Street 1:1151 TITUS AVE
Mailing Address - Street 2:LLE 10
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-4140
Mailing Address - Country:US
Mailing Address - Phone:585-544-5450
Mailing Address - Fax:585-544-5752
Practice Address - Street 1:1151 TITUS AVE
Practice Address - Street 2:LLE 10
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14617-4140
Practice Address - Country:US
Practice Address - Phone:585-544-5450
Practice Address - Fax:585-544-5752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-06
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty